Ethan J Gonsalves, RADT | |
34 Prado, San Luis Obispo, CA 93401 | |
(805) 519-1405 | |
Not Available |
Full Name | Ethan J Gonsalves |
---|---|
Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 34 Prado, San Luis Obispo, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053035402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1475210722 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ethan J Gonsalves, RADT 34 Prado, San Luis Obispo, CA 93401 Ph: (805) 519-1405 | Ethan J Gonsalves, RADT 34 Prado, San Luis Obispo, CA 93401 Ph: (805) 519-1405 |
Mr. Jeff Michael Lloyd, LPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2945 Mcmillan Ave, Suite 136, San Luis Obispo, CA 93401 Phone: 805-781-4286 | |
Ms. Jordan Alexandra Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 277 South St, Suite Y, San Luis Obispo, CA 93401 Phone: 805-541-5144 | |
Jose De Jesus Eulloqui, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1255 Kendall Rd, San Luis Obispo, CA 93401 Phone: 805-781-3535 | |
Mr. Jeffrey White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2180 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-1295 | |
Kimberly Seaman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4700 | |
Matthew Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4251 S Higuera St Ste 300, San Luis Obispo, CA 93401 Phone: 510-214-2767 | |
Jene Nicole Hinton-railsback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2180 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-305-4028 |