Individual
ILIANNA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 W MAIN ST, EL CENTRO, CA 92243-2900
(760) 337-3915
Mailing address
510 W MAIN ST, EL CENTRO, CA 92243-2900
(760) 337-3915
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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