JOHNNY DEAN GONZALES

CLACKAMAS, OR
NPI1871868976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  103TA0400X)
Enumeration Date2012-03-21
Last Update Date2012-03-21
Business Address
-- JOHNNY DEAN GONZALES BS
10180 SE SUNNYSIDE RD 1ST FLOOR, WING A
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
Mailing Address
-- JOHNNY DEAN GONZALES BS
10180 SE SUNNYSIDE RD 1ST FLOOR, WING A
CLACKAMAS, OR 97015-8970
Phone number: 503-571-0884
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