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Mr. Ignacio Gonzalez
Addiction (Substance Use Disorder) Counselor in Covina, California
NPI 1275240194

Ignacio Gonzalez is an Addiction (Substance Use Disorder) Counselor based in Covina, CA and is specialized in Addiction (Substance Use Disorder). Ignacio Gonzalez practices in Covina, CA. The NPI Number for Ignacio Gonzalez is 1275240194 and holds a License No. (California).

The current practice location address for Ignacio Gonzalez is 4626 N Grand Ave, Covina, CA and can be reached out via phone at 626-331-5316.

Location: 4626 N Grand Ave, Covina, CA, 91724-2055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275240194
Provider Name
Ignacio Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
4626 N Grand Ave, Covina, CA, 91724-2055
Phone Number
626-331-5316
Fax Number
Provider Enumeration Date
10/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4626 N Grand Ave
City
Covina
State
California
Zip
91724-2055
Phone Number
626-331-5316
Fax Number
person
Provider Business Mailing Address Details
Address
4626 N Grand Ave
City
Covina
State
California
Zip
91724-2055
Phone Number
626-331-5316
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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