Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Gonzales, LAADC-CALCI10970318

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619306289

Mark Gonzales, LAADC-CALCI10970318 is a Student in an Organized Health Care Education/Training Program in Visalia, California. Practices as a sole proprietor and works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Visalia, CA

Additional practice locations (2)

  • 408 Tennessee St, Vallejo, CA 94590-4453 — (707) 554-2397
  • 4023 W Douglas Ave, Visalia, CA 93291-4185 — (510) 691-0474

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCI10970318 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 5465630291 (CA)

Record details

NPI number1619306289
Entity typeIndividual (Type 1)
GenderMale
Credentials LAADC-CALCI10970318
Sole proprietorYes
NPI enumeratedNovember 4, 2013
Last updated in NPPESMarch 7, 2023
Certification dateFebruary 15, 2021

Other providers in Visalia