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Jose Benito Gonzalez
Counselor in South Lake Tahoe, California
NPI 1881878502

Jose Benito Gonzalez is a Counselor based in South Lake Tahoe, CA. Jose Benito Gonzalez practices in South Lake Tahoe, CA. The NPI Number for Jose Benito Gonzalez is 1881878502 and holds a License No. (California).

The current practice location address for Jose Benito Gonzalez is 3501 Spruce Ave Ste B, South Lake Tahoe, CA and can be reached out via phone at 530-542-0740 and via fax at 530-542-0397.

Location: 3501 Spruce Ave Ste B, South Lake Tahoe, CA, 96150
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881878502
Provider Name
Jose Benito Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3501 Spruce Ave Ste B, South Lake Tahoe, CA, 96150
Phone Number
530-542-0740
Fax Number
530-542-0397
Provider Enumeration Date
12/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3501 Spruce Ave Ste B
City
South Lake Tahoe
State
California
Zip
96150-2302
Phone Number
530-542-0740
Fax Number
530-542-0397
person
Provider Business Mailing Address Details
Address
3501 Spruce Ave Ste B
City
South Lake Tahoe
State
California
Zip
96150-2302
Phone Number
530-542-0740
Fax Number
530-542-0397
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
(California)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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