Individual
ANDREA GUADALUPE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
22942 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 683-5131
Mailing address
22942 EL TORO RD, LAKE FOREST, CA 92630-4961
(949) 683-5131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13352
CA
Other
Enumeration date
08/18/2021
Last updated
11/16/2023
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