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Antonio Gonzales — NPI 1194346205, South Salt Lake, UT | NPI Central

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Antonio Gonzales

NPI 1194346205 · Peer Specialist · South Salt Lake, UT

Provider details

NPI number: 1194346205
Entity type: Individual
Primary specialty: Peer SpecialistOther Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Peer SpecialistPrimary175T00000XLicense 2027 (UT)
Other Service Providers
Case Manager/Care Coordinator171M00000X
Other Service Providers

Practice location

3269 S Main St Ste 230

South Salt Lake, UT 84115-3769

Phone: (801) 935-4447

Approximate (ZIP-level) locationGet directions

More UT providers

Mailing address

3269 S Main St Ste 230

South Salt Lake, UT 84115-3769

Additional practice locations (1)

4460 S Highland Dr Ste 210
Salt Lake City, UT 84124-3550
Phone: (888) 949-4864

Registry dates

Enumerated: 2020-04-29
Last updated: 2023-04-25
Certified: 2023-04-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.