Provider Demographics
NPI:1093915050
Name:GONZALEZ, CINDY
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39821 CEDAR BLVD UNIT 215
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-5344
Mailing Address - Country:US
Mailing Address - Phone:925-580-6748
Mailing Address - Fax:
Practice Address - Street 1:1320 ARNOLD DR
Practice Address - Street 2:SUITE 160
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-6537
Practice Address - Country:US
Practice Address - Phone:925-229-5400
Practice Address - Fax:925-229-5406
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA803411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical