Individual
DAMIEN GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MFTI
Contact information
Practice address
6022 VARIEL AVE, WOODLAND HILLS, CA 91367-3719
(818) 274-0304
Mailing address
816 1/3 W KNOLL DR, WEST HOLLYWOOD, CA 90069-4714
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
IMF76991
CA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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