Provider Demographics
NPI:1558467258
Name:GONZALES, STEVEN GILBERT (LCSW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:GILBERT
Last Name:GONZALES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:16830 KITTANSETT PL
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-1223
Mailing Address - Country:US
Mailing Address - Phone:951-212-1340
Mailing Address - Fax:
Practice Address - Street 1:10630 TOWN CENTER DR STE 120
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-6889
Practice Address - Country:US
Practice Address - Phone:909-989-0901
Practice Address - Fax:909-941-1087
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CALCS 171831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical