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JENNIFER AMAYA GONZALEZ LCSW

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1043610553

Individual Registrant:
 JENNIFER  AMAYA GONZALEZ LCSW
Gender: F
Sole Proprietor

Location and contact information for practice:
1000 CORPORATE CENTER DR STE 650  MONTEREY PARK, CA 91754-7639 US
Tel: 323-526-4016  Fax: --

Contact information for business:
149 S MEDNIK AVE STE 201  LOS ANGELES, CA 90022-1606 US
Tel: --  Fax: --

Registration Information:
NPI: 1043610553
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAD9638007
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
CA86178

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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