Individual
AMANDA LAUREN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
236 W MOUNTAIN ST STE 103, PASADENA, CA 91103-2968
(323) 924-9084
Mailing address
25 S OAK KNOLL AVE APT 415, PASADENA, CA 91101-2169
(909) 282-7657
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
114539
CA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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