MARK GONZALES

VISALIA, CA
NPI1619306289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  LCi10970318)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA  5465630291)
Enumeration Date2013-11-04
Last Update Date2023-03-07
Business Address
MARK GONZALES LAADC-CA LCi10970318
4023 W DOUGLAS AVE
VISALIA, CA 93291-4185
Phone number: 510-691-0474
Mailing Address
MARK GONZALES LAADC-CA LCi10970318
4023 W DOUGLAS AVE
VISALIA, CA 93291-4185
Phone number: 510-691-0474