Gonzalez, Martha Elena
Gonzalez, Martha Elena is an sole proprietor health care provider with primary practice located at 11351 Dale St , Garden Grove CA 92841-1545. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Gonzalez, Martha Elena can be contacted via phone (714) 495-1626.Contact Information
Primary practice address
11351 Dale St
Garden Grove CA 92841-1545
Phone: (714) 495-1626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 101YS0200X | 130100488 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 104628 | California |
Profile Details
| NPI number | 1124519095 |
|---|---|
| LBN Legal business name | Gonzalez, Martha Elena |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 25th, 2018 |
| Last updated | Jul 28th, 2022 - about 4 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 | 1124519095 | NPPES |
| California | Other | 104628 | LICENSED MARRIAGE AND FAMILY THERAPIST |
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