Gonzalez, Anastacia

Gonzalez, Anastacia is an sole proprietor health care provider with primary practice located at 1135 N D St , San Bernardino CA 92410-3523. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Gonzalez, Anastacia can be contacted via phone (909) 381-3774.

Contact Information

Primary practice address
1135 N D St San Bernardino CA 92410-3523
Phone: (909) 381-3774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1164892220
LBN Legal business name Gonzalez, Anastacia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2015
Last updated Apr 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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