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Individual
MRS. JODI GONZALEZ
Active
Individual
MRS. JODI GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7011-R
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7011-R
CALIFORNIA ASSOCIATION FOR ALCOHOL DRUG EDUCATORS
CA
Enumeration date
01/28/2016
Last updated
01/28/2016
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