Gonzales, Michelle Monique

Gonzales, Michelle Monique is an sole proprietor health care provider with primary practice located at 1359 N Grand Ave , Covina CA 91724-1016. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is her primary health care specialty. Gonzales, Michelle Monique can be contacted via phone (626) 430-2859.

Contact Information

Primary practice address
1359 N Grand Ave Covina CA 91724-1016
Phone: (626) 430-2859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1548430838
LBN Legal business name Gonzales, Michelle Monique
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2008
Last updated Feb 1st, 2018 - about 6 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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