Gonzalez, Jessica

Gonzalez, Jessica is an sole proprietor health care provider with primary practice located at 205 Pasadena Ave , South Pasadena CA 91030-2919. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Gonzalez, Jessica can be contacted via phone (323) 344-5536.

Contact Information

Primary practice address
205 Pasadena Ave South Pasadena CA 91030-2919
Phone: (323) 344-5536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X ASW94949 California
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1003357708
LBN Legal business name Gonzalez, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2017
Last updated May 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003357708 NPPES
California Other 7667 MEDI-CAL
California Other 7708 MEDI-CAL
California Other 7184 MEDI-CAL
California Other 7368 MEDI-CAL

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