Provider Demographics
NPI:1053106799
Name:GONZALEZ, ANGELA VALERIE (MFT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:VALERIE
Last Name:GONZALEZ
Suffix:
Gender:
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 N BARSTON AVE
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724-2225
Mailing Address - Country:US
Mailing Address - Phone:702-406-6525
Mailing Address - Fax:
Practice Address - Street 1:1022 N BARSTON AVE
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91724-2225
Practice Address - Country:US
Practice Address - Phone:702-406-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist