Individual
JESSICA GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
19590 E MAINSTREET STE 100-5, PARKER, CO 80138-7302
(720) 740-3510
Mailing address
10139 LODESTONE WAY, PARKER, CO 80134-9532
(717) 419-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0009925104
CO
Other
Enumeration date
10/16/2023
Last updated
08/12/2024
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