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KELLIE LYNN GONZALEZ AMFT NPI 1730742263


NPI Information

NPI: 1730742263
Provider Name: KELLIE LYNN GONZALEZ, AMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
525 TECHNOLOGY CT STE 105
RIVERSIDE, CA
ZIP 92507
Phone: (951) 686-8500
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Kellie Lynn Gonzalez, AMFT is a marriage family therapist in Riverside, CA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Kellie Lynn Gonzalez, AMFT NPI is 1730742263. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

525 TECHNOLOGY CT STE 105
RIVERSIDE, CA
ZIP 92507-181
Phone: (951) 686-8500

The enumeration date for this NPI number is 4/19/2019 and was last updated on 3/9/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1106H00000XMarriage & Family Therapist92986CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D3043190OTHERCALIFORNIADRIVER LICENSE

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

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