Individual
ROSAURA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 247-6372
Mailing address
100 POPLAR AVE, MODESTO, CA 95354-0510
(209) 247-6372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
112212
CA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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