Most Relevant Information
Provider Data
| NPI Number: | 1003357708 |
| Provider Name: | JESSICA GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ASW94949 |
Most Important Dates
| Enumeration Date: | 03/14/2017 |
| Last Updated: | 05/15/2024 |
Provider Practice Location
205 PASADENA AVE
SOUTH PASADENA
CA
910302919
Practice Location Phone/Fax
| Phone: | 3233445536 |
| Fax: |
Provider Mailing Location
800 N ECKHOFF ST
ORANGE
CA
928681008
Provider Mailing Phone/Fax
| Phone: | 7147156523 |
| Fax: |