EDWARD GONGORA

SAN ANTONIO, TX
NPI1710451869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  10620)
Enumeration Date2019-01-11
Last Update Date2019-01-11
Business Address
EDWARD GONGORA
3701 W COMMERCE ST
SAN ANTONIO, TX 78207-3611
Phone number: 210-434-0531
Mailing Address
EDWARD GONGORA
3701 W COMMERCE ST
SAN ANTONIO, TX 78207-3611
Phone number: 210-434-0531
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