Martinez Gonzalez, Ivan

Martinez Gonzalez, Ivan is an individual health care provider with primary practice located at 162 E Carson St Ste B , Colusa CA 95932-2880. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martinez Gonzalez, Ivan can be contacted via phone (530) 458-0520.

Contact Information

Primary practice address
162 E Carson St Ste B Colusa CA 95932-2880
Fax: (530) 458-7751
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113824 California

Profile Details

NPI number 1497250351
LBN Legal business name Martinez Gonzalez, Ivan
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2018
Last updated Dec 29th, 2023 - about 2 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.

Request for update

Popular Providers