Individual provider · Type 1 NPI

Herminio Gonzalez Jr., LCSW

Mental Health Counselor · Los Angeles, CA

NPI number 1790187151 Active

Practice location

426 S San Pedro St
Los Angeles, CA 90013-2119

Mailing address

1720 E 120th St
Los Angeles, CA 90059-3052

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLCSW89355 (CA)
Mental Health Counselor Primary 101YM0800XASW72483 (CA)

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About NPI 1790187151

Herminio Gonzalez Jr., LCSW's National Provider Identifier is 1790187151, issued on Sep 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 31, 2021.