Individual
BRANDI ANN GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2085 RUSTIN AVE STE 5, RIVERSIDE, CA 92507-2498
(951) 509-2400
(951) 509-2405
Mailing address
5870 ARLINGTON AVE, RIVERSIDE, CA 92504-2037
(951) 683-6596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1373101219
CA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
05/29/2025
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