Individual
ELENA K GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
2473 KARL DR, PORT ORANGE, FL 32128-6511
(305) 614-4751
(760) 205-4866
Mailing address
2473 KARL DR, PORT ORANGE, FL 32128-6511
(305) 614-4751
(760) 205-4866
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
97660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97660
BOARD OF BEHAVIORAL SCIENCE
CA
Enumeration date
12/06/2011
Last updated
04/28/2023
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