Individual
MARICELA MEDINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 ADELINE ST, BERKELEY, CA 94703-2407
(510) 601-0203
Mailing address
79 MIRAMAR AVE UNIT 1, SAN FRANCISCO, CA 94112-2251
(415) 240-2803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8435
CA
Other
Enumeration date
03/03/2020
Last updated
03/27/2025
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