FABIAN GONZALES

WEST COVINA, CA
NPI1225255268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  0)
Enumeration Date2007-04-19
Last Update Date2007-07-08
Business Address
MR. FABIAN GONZALES ADDICTION SPECIALIST
540 SOUTH EREMLAND DR. SUITE #A
WEST COVINA, CA 91723
Phone number: 626-966-1577
Mailing Address
MR. FABIAN GONZALES ADDICTION SPECIALIST
25 EL NIDO AVENUE APARTMENT #2
PASADENA, CA 91107
Phone number: 626-644-2545