Individual
SILVIA C GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
550 NW 5TH ST, 360 NW BEAVER ST, PRINEVILLE, OR 97754-1728
(541) 447-5521
Mailing address
550 NW 5TH ST, 360 NW BEAVER ST, PRINEVILLE, OR 97754-1728
(541) 447-5521
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11-P-10
OR
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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