Juan Antonio Loera Gonzalez, LPCC 16813
Counselor, Professional in Porterville, CA. Individual provider (NPI-1).
NPI number1033770367
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1033770367
- Entity type
- Individual (NPI-1)
- Name
- Juan Antonio Loera Gonzalez
- Credential
- LPCC 16813
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2019
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 16813 | CA | Yes |
| 101YM0800X | Counselor, Mental Health | 6611 | CA | |
| 101YP2500X | Counselor, Professional | 6611 | CA |
Practice location
1055 W Henderson Ave Ste 2Porterville, CA 93257-1490
Phone 559-788-1200 · Fax 559-713-3717
Mailing address
1768 Clearwater StTulare, CA 93274-7472
Phone 559-202-6189
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