Individual provider · Type 1 NPI

Laura Gonzaga

Professional Counselor · San Diego, CA

NPI number 1649049123 Active

Practice location

3517 Camino Del Rio S Ste 302
San Diego, CA 92108-4029

Mailing address

8605 Santa Monica Blvd
West Hollywood, CA 90069-4109

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPCC14963 (CA)

Professional Counselor: Definition to come...

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About NPI 1649049123

Laura Gonzaga's National Provider Identifier is 1649049123, issued on Dec 26, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Dec 26, 2023.