Individual
JESUS ABRAHAM GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2285 RIVER RUN DR APT 8102, SAN DIEGO, CA 92108-5851
(619) 302-8949
Mailing address
2285 RIVER RUN DR APT 8102, SAN DIEGO, CA 92108-5851
(619) 302-8949
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12970485
MEXICAN BOARD OF PSHYCOLOGISTS
—
Enumeration date
10/03/2022
Last updated
10/03/2022
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