Doctor Name: | ERICA GONZALEZ |
NPI Number: | 1053604850 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RAS I |
License Number: | 101044 |
Business Practice Address: | 741 Tulare St Parlier, CA - 936482541 |
Business Phone Number: | 5596463837 |
Business Fax Number: | 5599815539 |
Mailing Address: | 7475 N Palm Ave Ste 107, FRESNO |
State: | CA |
Postal Code: | 937115763 |
Phone Number: | 5599815534 |
Fax Number: | 5599815539 |
NPI Enumeration Date: | 05/26/2011 |
NPI Last Update Date: | 05/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 101044 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |