Individual
LAURA GONZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 CAMINO DEL RIO S STE 302, SAN DIEGO, CA 92108-4029
(619) 996-3195
Mailing address
8605 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90069-4109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APCC14963
CA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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