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1669215349
JACOB ERNESTO GONZALEZ
INGLEWOOD, CA
NPI
1669215349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA AMFT147494)
Enumeration Date
2024-06-18
Last Update Date
2024-06-18
Business Address
JACOB ERNESTO GONZALEZ
301 N PRAIRIE AVE STE 510
INGLEWOOD, CA 90301-4512
Phone number: 323-741-1561
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Mailing Address
JACOB ERNESTO GONZALEZ
1816 W 42ND ST
LOS ANGELES, CA 90062-1528
Phone number: 323-979-3253
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