Healthcare Provider Details

I. General information

NPI: 1982979290
Provider Name (Legal Business Name): ERIKA I GONZALEZ-DELACRUZ PPSC - 240063620
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIKA I GONZALEZ PPSC - 240063620

II. Dates (important events)

Enumeration Date: 03/20/2012
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12623 AVENUE 416
OROSI CA
93647-2017
US

IV. Provider business mailing address

12623 AVENUE 416
OROSI CA
93647-2017
US

V. Phone/Fax

Practice location:
  • Phone: 559-679-2108
  • Fax:
Mailing address:
  • Phone: 559-528-4763
  • Fax: 559-528-3132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number240063620
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: