Individual provider · Type 1 NPI

Jessica Lauren Gonzalez, LPC

Professional Counselor · Philadelphia, PA

NPI number 1497260467 Active

Practice location

10541 Drummond Rd
Philadelphia, PA 19154-3807

Mailing address

162 N 22nd St Apt A
Philadelphia, PA 19103-1375

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPC010087 (PA)

Professional Counselor: Definition to come...

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About NPI 1497260467

Jessica Lauren Gonzalez, LPC's National Provider Identifier is 1497260467, issued on Dec 12, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Philadelphia, PA. The record was last updated on Dec 12, 2017.