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1619018074
ALFRED GONZALEZ
RALEIGH, NC
NPI
1619018074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: NC NCSAPPB 494)
Enumeration Date
2007-02-09
Last Update Date
2007-07-09
Business Address
MR. ALFRED GONZALEZ CCS, LCAS
1001 NAVAHO DR STE 150
RALEIGH, NC 27609-7368
Phone number: 919-873-1551
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Mailing Address
MR. ALFRED GONZALEZ CCS, LCAS
412 WILDOAT PL
RALEIGH, NC 27610-2155
Phone number: 919-250-0144
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