Individual
JESSICA MELISSA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMHCI, RMFTI
Contact information
Practice address
21 COLUMBIA ST STE 201, ORLANDO, FL 32806-1133
(321) 841-0746
Mailing address
13104 AUBREY LN, WINTER GARDEN, FL 34787-6536
(407) 504-9196
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH25889
FL
106H00000X
Marriage & Family Therapist
Primary
IMT4153
FL
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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