Individual
JENNIFER HAYLEY GOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 N JACKSON ST, GLENDALE, CA 91206-4334
(818) 241-3111
Mailing address
2171 REDELL AVE, MONROVIA, CA 91016-4816
(626) 488-4626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC7882
CA
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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