| Jeanpaulo A. Gonzalez, Licensed Clinical Social Worker Inc. | |
|
101 E Redlands Blvd Ste 234a Redlands CA 92373-4775 | |
| (909) 264-1388 | |
| Not Available |
| Full Name | Jeanpaulo A. Gonzalez, Licensed Clinical Social Worker Inc. |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 101 E Redlands Blvd Ste 234a, Redlands, California |
| Authorized Official Name and Position | Jeanpaulo Alfonso Gonzalez (MENTAL HEALTH THERAPIST/CEO) |
| Authorized Official Contact | 9092641388 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeanpaulo A. Gonzalez, Licensed Clinical Social Worker Inc. 101 E Redlands Blvd Ste 234a Redlands CA 92373-4775 Ph: (909) 264-1388 | Jeanpaulo A. Gonzalez, Licensed Clinical Social Worker Inc. 101 E Redlands Blvd Ste 234a Redlands CA 92373-4775 Ph: (909) 264-1388 |
| NPI Number | 1346923307 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346923307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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