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Individual

JUAN ANTONIO LOERA GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC 16813

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
6611
CA
101YP2500X
Professional Counselor
Primary
16813
CA
101YP2500X
Professional Counselor
6611
CA

Other

Enumeration date
06/26/2019
Last updated
04/08/2025
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