Individual provider · Type 1 NPI

Carlos Julio Gonzalez

Mental Health Counselor · Venice, CA

NPI number 1275935801 Active

Practice location

204 Hampton Dr
Venice, CA 90291-2623

Mailing address

604 Woodlawn Ave
Venice, CA 90291-4851

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1275935801

Carlos Julio Gonzalez's National Provider Identifier is 1275935801, issued on Sep 26, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Venice, CA. The record was last updated on Sep 26, 2014.