Stephanie Erin Wilson Gonzalez, is a
Counselor - Addiction (substance Use Disorder) based in Gardenia, California. Stephanie Erin Wilson Gonzalez is licensed to practice in California (license number 24976) and her current practice location is
Bhs, 15519 South Crenshaw Boulevard, Gardenia, California. She can be reached at her office (for appointments etc.) via phone at
(310) 679-9126.
NPI number for Stephanie Erin Wilson Gonzalez is 1578383105 and her current mailing address is 15519 Crenshaw Blvd, Gardena, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578383105.
Healthcare Provider's Profile
Full Name | Stephanie Erin Wilson Gonzalez |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | Bhs, Gardenia, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578383105
- Provider Enumeration Date: 10/17/2024
- Last Update Date: 10/17/2024
Medical Identifiers
Medical identifiers for Stephanie Erin Wilson Gonzalez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578383105 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 24976 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Erin Wilson Gonzalez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Erin Wilson Gonzalez, 15519 Crenshaw Blvd, Gardena, CA 90249-4525 Ph: (310) 679-9126 | Stephanie Erin Wilson Gonzalez, Bhs, 15519 South Crenshaw Boulevard, Gardenia, CA 90249 Ph: (310) 679-9126 |
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