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Individual
JAZMIN STEPHANIE GONZALEZ
Active
Individual
JAZMIN STEPHANIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
24538
NC
1041C0700X
Clinical Social Worker
Primary
C013337
NC
1041C0700X
Clinical Social Worker
P012396
NC
Other
Enumeration date
05/21/2018
Last updated
02/01/2023
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