NICOLAS GONZALEZ

CAMPO, CA
NPI1861190134
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  R1495660123)
Enumeration Date2023-02-16
Last Update Date2023-05-01
Business Address
Mr. NICOLAS GONZALEZ RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 196-478-5696
Mailing Address
Mr. NICOLAS GONZALEZ RADT
1777 BUCKMAN SPRINGS RD
CAMPO, CA 91906-2022
Phone number: 196-478-5696