RICHARD GONZALEZ

BAY SHORE, NY
NPI1144855867
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-03-04
Last Update Date2020-03-04
Business Address
RICHARD GONZALEZ
1444 5TH AVE
BAY SHORE, NY 11706-4147
Phone number: 631-647-3100
Mailing Address
RICHARD GONZALEZ
9 KIRK RD
BAY SHORE, NY 11706-1613
Phone number: 631-553-3577
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