ETHAN J GONSALVES RADT
NPI 1053035402
Counselor - Addiction (Substance Use Disorder) in San Luis Obispo, CA
About Ethan J Gonsalves Radt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN J GONSALVES RADT (NPI 1053035402) is an individual addiction (substance use disorder) provider in San Luis Obispo, California, licensed in California (R1475210722) and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN LUIS OBISPO, CA 93401
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Gonsalves's NPI number?
The NPI number for Ethan Gonsalves is 1053035402. It was assigned to this individual provider in the NPPES registry on September 29, 2022.
Where is Ethan Gonsalves located?
Ethan Gonsalves practices at 34 Prado, San Luis Obispo, CA 93401. The listed phone number is (805) 519-1405.
What is Ethan Gonsalves's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
When was this NPI record last updated?
The NPPES record for Ethan Gonsalves was last updated on September 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.
