Provider Demographics
NPI:1083212203
Name:GONZALEZ, YNONNE MARIE (MA)
Entity Type:Individual
Prefix:
First Name:YNONNE
Middle Name:MARIE
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 FRESNO ST STE 106
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93706-3641
Mailing Address - Country:US
Mailing Address - Phone:559-457-5750
Mailing Address - Fax:559-256-7952
Practice Address - Street 1:302 FRESNO ST STE 106
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93706-3641
Practice Address - Country:US
Practice Address - Phone:559-457-5750
Practice Address - Fax:559-256-7952
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor