Jose Luis Gonzalez

NPI #1518590207 in Marina, California

Provider Information

NPI Number: 1518590207
Entity Type: Individual
Name: Jose Luis Gonzalez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Feb 20, 2020
Last Updated: Jun 23, 2021

Practice Location

Address: 299 12TH ST STE A
City: Marina
State: California
ZIP Code: 93933-6003
Phone: (831) 647-7652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker	104100000X	Primary

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