OLIVIA R. GONZALEZ

SCOTTSBLUFF, NE
NPI1134213556
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE  50)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- OLIVIA R. GONZALEZ LADC
4110 AVE D
SCOTTSBLUFF, NE 69361
Phone number: 308-635-3171
Mailing Address
-- OLIVIA R. GONZALEZ LADC
560 MARK DR.
GERING, NE 69341
Phone number: