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NPI Code Detail

MEDICARE: JOVANA MARIE GONZALEZ

MEDICARE: JOVANA MARIE GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist143700CA

General Provider Information

NPI Number : 1851765168
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOVANA MARIE GONZALEZ
Provider Business Mailing Address
First Line : 3855 N WEST AVE STE 103-110
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-334-6433
Fax Number :
Provider Business Practice Location Address
First Line : 3855 N WEST AVE STE 103-110
Second Line :
City : FRESNO
State : CA
Zip : 93705-2759
Country : US
Telephone Number : 559-334-6433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/24/2015
Last Update Date : 04/09/2026

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Directions to “ JOVANA MARIE GONZALEZ ” Practice Location

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