Provider Demographics
NPI:1336605807
Name:YOLANDA GONZALEZ
Entity Type:Organization
Organization Name:YOLANDA GONZALEZ
Other - Org Name:YOLANDA GONZALEZ LMFT 105858
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:559-836-7900
Mailing Address - Street 1:10823 SAN MADINA DR
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-6032
Mailing Address - Country:US
Mailing Address - Phone:559-836-7900
Mailing Address - Fax:559-587-5223
Practice Address - Street 1:804 N IRWIN ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-3839
Practice Address - Country:US
Practice Address - Phone:559-836-7900
Practice Address - Fax:559-587-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health