Individual
GERALD GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-3864
Mailing address
3230 KERNER BLVD, SAN RAFAEL, CA 94901-4840
(415) 473-3864
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
01/03/2022
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