person
Johnny Dean Gonzales, BS
Addiction (Substance Use Disorder) Counselor in Clackamas, Oregon
NPI 1871868976

Johnny Dean Gonzales is an Addiction (Substance Use Disorder) Counselor based in Clackamas, OR and is specialized in Addiction (Substance Use Disorder). Johnny Dean Gonzales practices in Clackamas, OR and has the professional credentials of BS. The NPI Number for Johnny Dean Gonzales is 1871868976 and holds a License No. 103TA0400X (Oregon).

The current practice location address for Johnny Dean Gonzales is 10180 Se Sunnyside Rd, Clackamas, OR and can be reached out via phone at 503-571-0884 and via fax at 503-571-0866. You can also correspond with Johnny Dean Gonzales through the mailing address at 10180 SE SUNNYSIDE RD, CLACKAMAS, OR - 97015-8970 (mailing address contact number: 503-571-0884).

Location: 10180 Se Sunnyside Rd, Clackamas, OR, 97015-8970
person
Provider Profile Details
NPI Number
1871868976
Provider Name
Johnny Dean Gonzales
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
10180 Se Sunnyside Rd, Clackamas, OR, 97015-8970
Phone Number
503-571-0884
Fax Number
503-571-0866
Provider Enumeration Date
03/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10180 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-571-0884
Fax Number
503-571-0866
person
Provider Business Mailing Address Details
Address
10180 Se Sunnyside Rd
City
State
Zip
97015-8970
Phone Number
503-571-0884
Fax Number
503-571-0866
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
103TA0400X (Oregon)
Definition
Definition to come...
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