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Individual
JENIFER LYNN GONZALEZ
Active
Individual
JENIFER LYNN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW, LCAS, CCS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23440
NC
1041C0700X
Clinical Social Worker
Primary
C012247
NC
1041C0700X
Clinical Social Worker
P011430
NC
Other
Enumeration date
06/04/2018
Last updated
09/07/2024
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