JEANPAULO ALFONSO GONZALEZ NPI 1811661465

NPI Information

NPI: 1811661465
Provider Name: JEANPAULO ALFONSO GONZALEZ
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
101 E REDLANDS BLVD STE 234A
REDLANDS, CA
ZIP 92373
Phone: (909) 264-1388
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JEANPAULO ALFONSO GONZALEZ is a mental health counselor in Redlands, CA. JEANPAULO ALFONSO GONZALEZ NPI is 1811661465. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 E REDLANDS BLVD STE 234A
REDLANDS, CA
ZIP 92373-775
Phone: (909) 264-1388

The provider's authorized official is Jeanpaulo Alfonso Gonzalez .
The authorized official title is Mental Health Clinician and has the following contact phone number (909) 264-1388.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1346675972	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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