Ethan J Gonsalves, RADT
Ethan J Gonsalves, RADT is an Addiction (Substance Use Disorder) Counselor in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2022.
- Licensed in
- CA
- In the registry since
- 2022
Practice location Address checks out
34 PradoSan Luis Obispo, CA 93401
Phone: (805) 519-1405
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence R1475210722 (CA) |
|---|
Record details
| NPI number | 1053035402 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RADT |
| Sole proprietor | No |
| NPI enumerated | September 29, 2022 |
| Last updated in NPPES | September 29, 2022 |
| Certification date | September 28, 2022 |
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