Individual
LUIS A. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
100 NORTH BROADWAY, YONKERS, NY 10701
(914) 376-7618
Mailing address
317 SOUTH BROADWAY, 1ST FLOOR, YONKERS, NY 10705
(914) 476-6502
(914) 476-2421
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20973
NY
Other
Enumeration date
11/18/2008
Last updated
11/25/2008
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