Individual
JOHANNA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 SAN JACINTO RIVER RD, SUITE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
(951) 674-9635
Mailing address
265 SAN JACINTO RIVER RD, SUITE 107, LAKE ELSINORE, CA 92530-4400
(951) 674-9243
(951) 674-9635
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
06/23/2025
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