Individual
BRENDA GONZALEZ BARAJAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N EUCLID AVE, ONTARIO, CA 91762-2729
(909) 983-2020
Mailing address
1543 E FAIRFIELD CT APT 4, ONTARIO, CA 91761-4903
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
78588
CA
1041C0700X
Clinical Social Worker
Primary
99236
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
01/11/2021
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