Individual
ALLISON GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316-2636
(909) 721-7120
Mailing address
18612 SANTA ANA AVE, BLOOMINGTON, CA 92316-2636
(909) 721-7120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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