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JENNIFER AMAYA GONZALEZ LCSW
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1043610553
Individual Registrant: JENNIFER AMAYA GONZALEZ LCSW
Gender: F
Sole Proprietor
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: --
Tel: 323-526-4016 Fax: --
Contact information for business:
149 S MEDNIK AVE STE 201 LOS ANGELES, CA 90022-1606 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1043610553
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | CA | D9638007 |
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker | CA | 86178 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
