Individual
JESSICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7342 SW 80TH STREET PLZ APT 173, MIAMI, FL 33143-7451
(786) 217-4684
Mailing address
7342 SW 80TH STREET PLZ APT 173, MIAMI, FL 33143-7451
(786) 217-4684
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT4133
FL
Other
Enumeration date
01/17/2025
Last updated
02/25/2025
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