person
Richard Gonzalez
Addiction (Substance Use Disorder) Counselor in Bay Shore, New York
NPI 1144855867

Richard Gonzalez is an Addiction (Substance Use Disorder) Counselor based in Bay Shore, NY and is specialized in Addiction (Substance Use Disorder). Richard Gonzalez practices in Bay Shore, NY. The NPI Number for Richard Gonzalez is 1144855867 and holds a License No. (New York).

The current practice location address for Richard Gonzalez is 1444 5Th Ave, Bay Shore, NY and can be reached out via phone at 631-647-3100. You can also correspond with Richard Gonzalez through the mailing address at 9 KIRK RD, BAY SHORE, NY - 11706-1613 (mailing address contact number: 631-553-3577).

Location: 1444 5Th Ave, Bay Shore, NY, 11706-1613
person
Provider Profile Details
NPI Number
1144855867
Provider Name
Richard Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1444 5Th Ave, Bay Shore, NY, 11706-1613
Phone Number
631-647-3100
Fax Number
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1444 5Th Ave
City
State
Zip
11706-4147
Phone Number
631-647-3100
Fax Number
person
Provider Business Mailing Address Details
Address
9 Kirk Rd
City
State
Zip
11706-1613
Phone Number
631-553-3577
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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