Individual
CARMENDINA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
835 3RD AVE STE C, CHULA VISTA, CA 91911-1352
(619) 436-8264
Mailing address
835 3RD AVENUE, SUITE C, CHULA VISTA, CA 91911
(619) 436-8264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/09/2013
Last updated
05/14/2013
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