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Individual

EMANUEL GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
(209) 300-8898
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 300-8800
(209) 300-8898

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
172V00000X
Community Health Worker
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/05/2022
Last updated
09/04/2024
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