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1053035402
ETHAN J GONSALVES
SAN LUIS OBISPO, CA
NPI
1053035402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA r1475210722)
Enumeration Date
2022-09-29
Last Update Date
2022-09-29
Business Address
ETHAN J GONSALVES RADT
34 PRADO
SAN LUIS OBISPO, CA 93401
Phone number: 805-519-1405
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Mailing Address
ETHAN J GONSALVES RADT
34 PRADO
SAN LUIS OBISPO, CA 93401
Phone number: 805-519-1405
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