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General NPI Number Information
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NPI Number | 1497647309
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Entity Type | Organization
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Legal Business Name | KATHRYN GONZALES
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 71175 AURORA RD
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92241-7631
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Country | US
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Telephone | 760-251-8858
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Fax |
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Provider Business Mailing Address
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Address Line | 71175 AURORA RD
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City | DESERT HOT SPRINGS
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State | CA
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Zip | 92241-7631
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Country | US
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Telephone | 760-251-8858
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Fax |
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Authorized Official
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Title or Position | C.E.O APCC
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Name | CHRISTINA TORRES
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Credential | APCC
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Telephone | 760-251-8858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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