Gonzalez, Elena K

Gonzalez, Elena K is an sole proprietor health care provider with primary practice located at 2473 Karl Dr , Port Orange FL 32128-6511. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Gonzalez, Elena K can be contacted via phone (305) 614-4751.

Contact Information

Primary practice address
2473 Karl Dr Port Orange FL 32128-6511
Phone: (305) 614-4751
Fax: (760) 205-4866
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 97660 California

Profile Details

NPI number 1164790143
LBN Legal business name Gonzalez, Elena K
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2011
Last updated Apr 28th, 2023 - about last year

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 1164790143 NPPES
California Other 97660 BOARD OF BEHAVIORAL SCIENCE

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