Organization
ADA E GONZALES , LCSW INC
Active
Other names
Ada E Gonzales, LCSW Inc
Organization subpart
No
Provider details
NPI number
Authorized official
ADA GONZALES L.C.S.W (PRESIDENT)
(805) 203-6202
Entity
Organization
Contact information
Practice address
1145 E CLARK AVE STE K, SANTA MARIA, CA 93455-5173
(805) 203-6202
Mailing address
843 MCCLOUD ST, SANTA MARIA, CA 93455-7108
(805) 203-6202
(855) 617-7517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
12/06/2019
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