Doctor Name: | KRISTINA GONZALEZ |
NPI Number: | 1033541057 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1180 3rd Ave Suite C3 Chula Vista, CA - 919113139 |
Business Phone Number: | 6196918164 |
Business Fax Number: | 6194262359 |
Mailing Address: | 1180 3rd Ave, Suite C3 CHULA VISTA |
State: | CA |
Postal Code: | 919113139 |
Phone Number: | 6196918164 |
Fax Number: | 6194262359 |
NPI Enumeration Date: | 08/01/2013 |
NPI Last Update Date: | 08/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |