Individual
ANASTACIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1135 N D ST, SAN BERNARDINO, CA 92410-3523
(909) 381-3774
Mailing address
1135 N D ST, SAN BERNARDINO, CA 92410-3523
(909) 381-3774
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/01/2015
Last updated
04/15/2024
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