Individual
CHRISCELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 W F ST, ONTARIO, CA 91762-3201
(909) 986-4550
Mailing address
9830 YALE DR, ALTA LOMA, CA 91701-5961
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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