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Jose Domingo Gonzalez, CDCA
Addiction (Substance Use Disorder) Counselor in Youngstown, Ohio
NPI 1710697321

Jose Domingo Gonzalez is an Addiction (Substance Use Disorder) Counselor based in Youngstown, OH and is specialized in Addiction (Substance Use Disorder). Jose Domingo Gonzalez practices in Youngstown, OH and has the professional credentials of CDCA. The NPI Number for Jose Domingo Gonzalez is 1710697321 and holds a License No. APS.003735 (Ohio).

The current practice location address for Jose Domingo Gonzalez is 725 Boardman Canfield Rd Ste C4, Youngstown, OH and can be reached out via phone at 855-292-9778 and via fax at 855-292-9778.

Location: 725 Boardman Canfield Rd Ste C4, Youngstown, OH, 44512-4367
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710697321
Provider Name
Jose Domingo Gonzalez
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
725 Boardman Canfield Rd Ste C4, Youngstown, OH, 44512-4367
Phone Number
855-292-9778
Fax Number
855-292-9778
Provider Enumeration Date
12/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 Boardman Canfield Rd Ste C4
City
Youngstown
State
Ohio
Zip
44512-4367
Phone Number
855-292-9778
Fax Number
855-292-9778
person
Provider Business Mailing Address Details
Address
725 Boardman Canfield Rd Ste C4
City
Youngstown
State
Ohio
Zip
44512-4367
Phone Number
855-292-9778
Fax Number
855-292-9778
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.182780 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
APS.003735 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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