Individual
ANTONIO GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3430 COGSWELL RD, EL MONTE, CA 91732-2785
(626) 453-3406
Mailing address
4838 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91607-3717
(818) 506-4455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
03/01/2022
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