Individual
MRS. AMANDA D GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT
Contact information
Practice address
2220 GIRARD ST, SAN JACINTO, CA 92583-5301
(951) 925-8450
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
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
03/01/2024
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