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1578000253
ALEXIS GONZALEZ
SUN VALLEY, CA
NPI
1578000253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2017-01-19
Last Update Date
2017-01-19
Business Address
-- ALEXIS GONZALEZ
8140 SUNLAND BLVD
SUN VALLEY, CA 91352-3948
Phone number: 818-582-8832
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Mailing Address
-- ALEXIS GONZALEZ
8140 SUNLAND BLVD
SUN VALLEY, CA 91352-3948
Phone number: 818-582-8832
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