Ivander Miguel Gonzalez
Marriage & Family Therapist in Modesto, CA. Individual provider (NPI-1).
NPI number1801433263
StatusActive
Last updated in NPPESMar 27, 2025
Details
- NPI
- 1801433263
- Entity type
- Individual (NPI-1)
- Name
- Ivander Miguel Gonzalez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2019
- Certification date
- Mar 27, 2025
- Last updated
- Mar 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 154218 | CA | Yes |
| 101YP2500X | Counselor, Professional | – | CA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2000 W Briggsmore Ave Ste IModesto, CA 95350-3839
Phone 209-526-1476
Mailing address
2000 W Briggsmore Ave Ste IModesto, CA 95350-3839
Phone 209-526-1476
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All 346 Marriage & Family Therapist providers in Modesto · All 10,803 providers in Modesto
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