ETHAN J GONSALVES

SAN LUIS OBISPO, CA
NPI1053035402
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  r1475210722)
Enumeration Date2022-09-29
Last Update Date2022-09-29
Business Address
ETHAN J GONSALVES RADT
34 PRADO
SAN LUIS OBISPO, CA 93401
Phone number: 805-519-1405
Mailing Address
ETHAN J GONSALVES RADT
34 PRADO
SAN LUIS OBISPO, CA 93401
Phone number: 805-519-1405
Similar providers in San Luis Obispo, CA
CAMILLA HANNAH NYSTROM
JOEL ROBERTS
EVAN GAGE ALBRIGHT
LAURA HENDERSON
CALEDONIA VANDEN BOSSCHE
JOSHUA MICHAEL PETERS
TYLER SCOTT BARMBY
DIANE MARIE DANFIELD
ANTONIO VERDUGO
KAREN LUBETHA LARSON