Amanda D Gonzales, RADT
Counselor, Addiction (Substance Use Disorder) in San Jacinto, CA. Individual provider (NPI-1).
NPI number1245916618
StatusActive
Last updated in NPPESMar 1, 2024
Details
- NPI
- 1245916618
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amanda D Gonzales
- Credential
- RADT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2023
- Certification date
- Mar 1, 2024
- Last updated
- Mar 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2220 Girard StSan Jacinto, CA 92583-5301
Phone 951-925-8450
Mailing address
5870 Arlington AveRiverside, CA 92504-2037
Phone 951-683-6596
Other practice locations
5870 Arlington Ave
Riverside, CA 92504-2037
Riverside, CA 92504-2037
Phone 951-683-6596
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All 59 Addiction (Substance Use Disorder) Counselor providers in San Jacinto · All 715 providers in San Jacinto
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