Individual
ENRIQUE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SW-II/ AOD COUNSELOR
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 421-9465
Mailing address
1950 S SUNWEST LN STE 200, SAN BERNARDINO, CA 92408-3248
(909) 252-4010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
168131III
CA
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2016
Last updated
05/14/2025
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