IndividualActive
Mark Gonzales, LAADC-CA LCI10970318
NPI 1619306289 · Addiction (Substance Use Disorder) Counselor · Visalia, CA
Provider details
- NPI number
- 1619306289
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LAADC-CA LCI10970318
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5465630291 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Student, Health Care
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4023 W Douglas Ave
Visalia, CA 93291-4185
Phone: (510) 691-0474
Street-level locationGet directions
Mailing address
4023 W Douglas Ave
Visalia, CA 93291-4185
Additional practice locations (2)
- 408 Tennessee StVallejo, CA 94590-4453Phone: (707) 554-2397
- 4023 W Douglas AveVisalia, CA 93291-4185Phone: (510) 691-0474
Registry dates
- Enumerated
- 2013-11-04
- Last updated
- 2023-03-07
- Certified
- 2021-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.