Johnny Dean Gonzales, BS

NPI #1871868976 in Clackamas, Oregon

Provider Information

NPI Number
1871868976
Entity Type
Individual
Name
Johnny Dean Gonzales, BS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
BS
Enumeration Date
Mar 21, 2012
Last Updated
Mar 21, 2012

Practice Location

Address
10180 SE SUNNYSIDE RD
Address 2
1ST FLOOR, WING A
State
Oregon
ZIP Code
97015-8970
Phone
(503) 571-0884

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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