Individual
MAXINE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 OREGON ST STE 104, REDDING, CA 96001-1754
(530) 691-4577
Mailing address
1650 OREGON ST STE 104, REDDING, CA 96001-1754
(530) 691-4577
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
02/16/2023
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