Provider Demographics
NPI:1700360856
Name:GONZALEZ, MARIA JOSELYN
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:JOSELYN
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 1:749 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-3621
Mailing Address - Country:US
Mailing Address - Phone:831-537-5052
Mailing Address - Fax:
Practice Address - Street 1:749 7TH ST
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-3621
Practice Address - Country:US
Practice Address - Phone:831-537-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-24
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health