Gonzalez, Jose Luis

Gonzalez, Jose Luis is an individual health care provider with primary practice located at 299 12Th St Ste A , Marina CA 93933-6003. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Gonzalez, Jose Luis can be contacted via phone (831) 647-7652.

Contact Information

Primary practice address
299 12Th St Ste A Marina CA 93933-6003
Phone: (831) 647-7652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1518590207
LBN Legal business name Gonzalez, Jose Luis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2020
Last updated Jun 23rd, 2021 - about 3 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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