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Paul Cesar Gonzalez Hernandez

Counselor, Addiction (Substance Use Disorder) in Santa Rosa, CA. Individual provider (NPI-1).

NPI number1003206293
StatusActive
Last updated in NPPESFeb 24, 2015

Details

NPI
1003206293
Entity type
Individual (NPI-1)
Name
Paul Cesar Gonzalez Hernandez
Sex
Male
Sole proprietor
No
Enumeration date
Jan 27, 2015
Last updated
Feb 24, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1207 Cleveland Ave.
Santa Rosa, CA 95401

Phone 707-571-2215

Mailing address

Po Box 2587
Santa Rosa, CA 95405

Phone 707-571-2215

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