Individual
BRENDA STEPHANIE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
1224 VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6100
Mailing address
1407 E 96TH ST, LOS ANGELES, CA 90002-2246
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
111779
CA
1041C0700X
Clinical Social Worker
111779
CA
Other
Enumeration date
03/14/2023
Last updated
05/09/2023
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