VIRGINIA MARY LEE GONSALVES

LA MESA, CA
NPI1811257066
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-05-22
Last Update Date2012-05-22
Business Address
Mrs. VIRGINIA MARY LEE GONSALVES CAS
4990 WILLIAMS AVE
LA MESA, CA 91942
Phone number: 619-668-4200
Mailing Address
Mrs. VIRGINIA MARY LEE GONSALVES CAS
4990 WILLIAMS AVE
LA MESA, CA 91942
Phone number: 619-668-4200
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