Manuel Gonzalez
Counselor, Addiction (Substance Use Disorder) in Covina, CA. Individual provider (NPI-1).
NPI number1710694435
StatusActive
Last updated in NPPESApr 23, 2025
Details
- NPI
- 1710694435
- Entity type
- Individual (NPI-1)
- Name
- Manuel Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2022
- Certification date
- Apr 23, 2025
- Last updated
- Apr 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
223 E Rowland StCovina, CA 91723-3147
Phone 626-332-3145
Mailing address
223 E Rowland StCovina, CA 91723-3147
Phone 626-332-3145
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