Gonzalez, Jasmine
Gonzalez, Jasmine is an sole proprietor health care provider with primary practice located at 6736 Laurel Canyon Blvd Ste 200 , North Hollywood CA 91606-1576. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gonzalez, Jasmine can be contacted via phone (818) 824-9830.Contact Information
Primary practice address
6736 Laurel Canyon Blvd Ste 200
North Hollywood CA 91606-1576
Phone: (818) 824-9830
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW115434 | California |
Profile Details
| NPI number | 1831562495 |
|---|---|
| LBN Legal business name | Gonzalez, Jasmine |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 4th, 2015 |
| Last updated | Oct 14th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831562495 | NPPES |
| California | Other | 7368 | MED-CAL |
| California | Other | 7667 | MED-CAL |
| California | Other | 7708 | MED-CAL |
| California | Other | 7184 | MED-CAL |
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