Healthcare Provider Details

I. General information

NPI: 1700360856
Provider Name (Legal Business Name): MARIA JOSELYN GONZALEZ AMFT/APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2018
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 N DUTTON AVE STE 220
SANTA ROSA CA
95401-4686
US

IV. Provider business mailing address

1260 N DUTTON AVE STE 220
SANTA ROSA CA
95401-4686
US

V. Phone/Fax

Practice location:
  • Phone: 707-568-2300
  • Fax: 707-568-2304
Mailing address:
  • Phone: 707-568-2300
  • Fax: 707-568-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14363
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number140892
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: