Individual
MRS. GINA JANNAY GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
15311 CORTEZ BLVD, BROOKSVILLE, FL 34613-6005
(352) 540-9335
(352) 544-0722
Mailing address
15311 CORTEZ BLVD, BROOKSVILLE, FL 34613-6005
(352) 540-9335
(352) 544-0722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
MH12699
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012660200
—
FL
Enumeration date
01/04/2013
Last updated
06/14/2024
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