Individual
JACKLYN MICHELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12619 SCHOONER BEACH DR, BAKERSFIELD, CA 93311-5125
(805) 217-2474
Mailing address
12619 SCHOONER BEACH DR, BAKERSFIELD, CA 93311-5125
(805) 217-2474
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
CA
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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