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Individual
MRS. JENIFER GOSS
Active
Individual
MRS. JENIFER GOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA COUSELING PSYCH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
MFT INTERN #84029
CA
Other
Enumeration date
08/03/2013
Last updated
03/07/2015
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