Individual
CLARISSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 PADRE BLVD, SOUTH PADRE ISLAND, TX 78597-7324
(844) 820-7391
Mailing address
115 HONEYDALE RD APT B, BROWNSVILLE, TX 78520-7805
(956) 204-2677
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
41906
TX
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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