Gonzalez, Therese Marie

Gonzalez, Therese Marie is an individual health care provider with primary practice located at 934 N Mountain Ave Suite C, Upland CA 91786-3659. 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, Therese Marie can be contacted via phone (909) 579-8100.

Contact Information

Primary practice address
934 N Mountain Ave Suite C Upland CA 91786-3659
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMF46175 California

Profile Details

NPI number 1588707707
LBN Legal business name Gonzalez, Therese Marie
Credentials M.S., MFT INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Jul 8th, 2007 - about 17 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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