Individual
MRS. TERESA A GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
1001 NEEDHAM ST, MODESTO, CA 95354-0730
(209) 573-0353
(209) 529-8519
Mailing address
1430 FORDHAM AVE, MODESTO, CA 95350-5712
(209) 573-0353
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
143731
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/20/2007
Last updated
02/14/2024
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