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ROBERT GONZALES

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

Registrant NPI Number: 1982237806

Individual Registrant:
 ROBERT  GONZALES 
Gender: M
Sole Proprietor

Location and contact information for practice:
48745 3 POINTS RD  LAKE HUGHES, CA 93532-1122 US
Tel: 661-724-0001  Fax: 661-481-3392

Contact information for business:
48745 3 POINTS RD  LAKE HUGHES, CA 93532-1122 US
Tel: 661-724-0001  Fax: 661-481-3392

Registration Information:
NPI: 1982237806
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA62303

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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