Individual
ADRIANA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
1515 W CAMERON AVE STE 210, WEST COVINA, CA 91790-2726
(626) 653-9913
Mailing address
8632 CALABASH AVE, FONTANA, CA 92335-3018
(909) 561-7992
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
ACSW105242
CA
104100000X
Social Worker
ACSW105242
CA
1041C0700X
Clinical Social Worker
Primary
ACSW105242
CA
106S00000X
Behavior Technician
—
CA
Other
Enumeration date
04/30/2018
Last updated
08/17/2023
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