Individual
ANTHONY SERGIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14558 SYLVAN ST, VAN NUYS, CA 91342
(818) 787-4151
Mailing address
14287 FOOTHILL BLVD. #37, SYLMAR, CA 91342
(818) 362-5022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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