Individual
JUAN ANTONIO LOERA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC 16813
Contact information
Practice address
1055 W HENDERSON AVE STE 2, PORTERVILLE, CA 93257-1490
(559) 788-1200
(559) 713-3717
Mailing address
1768 CLEARWATER ST, TULARE, CA 93274-7472
(559) 202-6189
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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