Individual
MS. ADELITA R. GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 E 9TH ST, STOCKTON, CA 95206-2424
(510) 247-8300
(510) 247-8295
Mailing address
2201 E 9TH ST, STOCKTON, CA 95206-2424
(510) 247-8300
(510) 247-8295
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7326-R
CA
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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