RAFAEL GONZALEZ

TARZANA, CA
NPI1114669645
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1464400322)
Enumeration Date2022-04-13
Last Update Date2022-04-28
Business Address
RAFAEL GONZALEZ
18646 OXNARD ST
TARZANA, CA 91356-1486
Phone number: 818-996-1051
Mailing Address
RAFAEL GONZALEZ
5325 NEWCASTLE AVE UNIT 333
ENCINO, CA 91316-3069
Phone number: 818-459-2652