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Jenny Gonzalez

Student in an Organized Health Care Education/Training Program in Fresno, CA. Individual provider (NPI-1).

NPI number1902931983
StatusActive
Last updated in NPPESAug 7, 2020

Details

NPI
1902931983
Entity type
Individual (NPI-1)
Name
Jenny Gonzalez
Sex
Female
Sole proprietor
No
Enumeration date
Feb 22, 2007
Certification date
Aug 7, 2020
Last updated
Aug 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––

Practice location

3109 N Millbrook Ave
Fresno, CA 93703-1425

Phone 559-600-8198

Mailing address

3190 E Millbrae Ave
Fresno, CA 93710-4939

Phone 559-443-1488

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