Individual provider · Type 1 NPI
Jacquelyn Gonzalez
Mental Health Counselor · San Carlos, CA
NPI number
1073189361
Active
Practice location
1303 San Carlos Ave
San Carlos, CA 94070-2317
Mailing address
PO Box 5618
Redwood City, CA 94063-0618
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 122037 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1073189361
Jacquelyn Gonzalez's National Provider Identifier is 1073189361, issued on May 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Carlos, CA. The record was last updated on May 27, 2021.