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Jacquelyn Gonzalez
Mental Health Counselor in San Carlos, California
NPI 1073189361

Jacquelyn Gonzalez is a Mental Health Counselor based in Redwood City, CA and is specialized in Mental Health. Jacquelyn Gonzalez practices in San Carlos, CA. The NPI Number for Jacquelyn Gonzalez is 1073189361 and holds a License No. 122037 (California).

The current practice location address for Jacquelyn Gonzalez is 1303 San Carlos Ave, San Carlos, CA and can be reached out via phone at 650-394-5155.

Location: 1303 San Carlos Ave, San Carlos, CA, 94063-0618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073189361
Provider Name
Jacquelyn Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1303 San Carlos Ave, San Carlos, CA, 94063-0618
Phone Number
650-394-5155
Fax Number
Provider Enumeration Date
05/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1303 San Carlos Ave
City
San Carlos
State
California
Zip
94070-2317
Phone Number
650-394-5155
Fax Number
person
Provider Business Mailing Address Details
Address
1303 San Carlos Ave
City
San Carlos
State
California
Zip
94070-2317
Phone Number
650-394-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
122037 (California)
Definition
Definition to come...
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