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ERICA GONZALEZ RAS I

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1053604850

Individual Registrant:
 ERICA  GONZALEZ RAS I
Gender: F
Not Sole Proprietor

Location and contact information for practice:
741 TULARE ST  PARLIER, CA 93648-2541 US
Tel: 559-646-3837  Fax: 559-981-5539

Contact information for business:
7475 N PALM AVE STE 107  FRESNO, CA 93711-5763 US
Tel: 559-981-5534  Fax: 559-981-5539

Registration Information:
NPI: 1053604850
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA101044

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1044CA05




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