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Individual

CYNTHIA MACHELLE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC II, QMHA-C

Contact information

Practice address
925 AVENUE S UNIT 1, SEASIDE, OR 97138-7780
(503) 440-8687
Mailing address
PO BOX 503, WARRENTON, OR 97146-0503
(503) 440-8687

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-P-11
101YM0800X
Mental Health Counselor
1-QMHA-1-00261
OR

Other

Enumeration date
06/25/2020
Last updated
06/25/2020
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