Individual
JENNIFER LOPEZ GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSS
Contact information
Practice address
550 WASHINGTON AVE, ESCONDIDO, CA 92025
(760) 489-6380
(760) 294-7022
Mailing address
550 WASHINGTON AVE, ESCONDIDO, CA 92025
(760) 489-6380
(760) 294-7022
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-HMXRGJ
CA
Other
Enumeration date
07/11/2023
Last updated
04/19/2024
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