Provider Demographics
NPI:1437415445
Name:MAGCALAS-GOSSETT, JODEE ANN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:JODEE
Middle Name:ANN
Last Name:MAGCALAS-GOSSETT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3536 IROQUOIS AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2905
Mailing Address - Country:US
Mailing Address - Phone:714-350-2713
Mailing Address - Fax:562-446-0419
Practice Address - Street 1:4050 KATELLA AVE STE 213
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3486
Practice Address - Country:US
Practice Address - Phone:562-446-0418
Practice Address - Fax:562-446-0419
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF69924106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist