Individual
MR. ALFRED GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCS, LCAS
Contact information
Practice address
1001 NAVAHO DR STE 150, RALEIGH, NC 27609-7368
(919) 873-1551
(919) 873-1512
Mailing address
412 WILDOAT PL, RALEIGH, NC 27610-2155
(919) 250-0144
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
NCSAPPB 494
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6110521
—
NC
Enumeration date
02/09/2007
Last updated
07/09/2007
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