JESSICA NICOLE GONZALEZ

SOUTH LAKE TAHOE, CA
NPI1164893426
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-13
Last Update Date2015-10-13
Business Address
-- JESSICA NICOLE GONZALEZ
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
Mailing Address
-- JESSICA NICOLE GONZALEZ
1900 LAKE TAHOE BLVD
SOUTH LAKE TAHOE, CA 96150-6305
Phone number: 530-573-7970
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