Individual
JOSE DOMINGO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
725 BOARDMAN CANFIELD RD STE C4, YOUNGSTOWN, OH 44512-4367
(855) 292-9778
(855) 292-9778
Mailing address
725 BOARDMAN CANFIELD RD STE C4, YOUNGSTOWN, OH 44512-4367
(855) 292-9778
(855) 292-9778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.182780
OH
1041C0700X
Clinical Social Worker
Primary
S.2411071
OH
175T00000X
Peer Specialist
APS.003735
OH
Other
Enumeration date
12/05/2022
Last updated
06/17/2025
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