Individual
JESSICA LAUREN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10541 DRUMMOND RD, PHILADELPHIA, PA 19154-3807
(215) 908-7914
Mailing address
162 N 22ND ST APT A, PHILADELPHIA, PA 19103-1375
(551) 574-1102
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC010087
PA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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