Gonzalez, Jacqueline

Gonzalez, Jacqueline is an individual health care provider with primary practice located at 9570 Center Ave Ste 110 , Rancho Cucamonga CA 91730-5842. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Gonzalez, Jacqueline can be contacted via phone (909) 980-2789.

Contact Information

Primary practice address
9570 Center Ave Ste 110 Rancho Cucamonga CA 91730-5842
Phone: (909) 980-2789
Fax: (909) 980-2689
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RS3295 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 113958 California

Profile Details

NPI number 1821323379
LBN Legal business name Gonzalez, Jacqueline
Credentials AMFT 113958
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Jul 29th, 2019 - about 5 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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