CELEBRITY BLOCKTON-GONZALEZ LPCC
NPI 1225539372
Counselor - Mental Health in Rancho Cucamonga, CA
Active since February 23, 2018
About Celebrity Blockton-gonzalez Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CELEBRITY BLOCKTON-GONZALEZ LPCC (NPI 1225539372) is an individual mental health provider in Rancho Cucamonga, California, licensed in California (9924) and active in the NPI registry since February 2018. She maintains 2 additional practice locations.
NPPES Registry Identity
NPI1225539372
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCELEBRITY BLOCKTON-GONZALEZCredential: LPCC
Location Address7903 ELM AVE APT 33Rancho Cucamonga, CA 91730-6868
Mailing Address7903 Elm Ave Apt 33Rancho Cucamonga, CA 91730-6868 · (707) 816-8323
Phone(707) 816-8323
Sole ProprietorNo
Enumeration DateFebruary 23, 2018
Last NPPES UpdateOctober 2, 2022
NPPES CertifiedOctober 2, 2022
✔ NPI 1225539372 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · 9924✔ Licensed in CA · 114895
Also ListedCounselorTaxonomy 101Y00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 131371 (CA)
7903 ELM AVE APT 33, Rancho Cucamonga, CA 91730
Secondary Practice Locations 2
Location 11020 S Arroyo PkwyPasadena, CA 91105-3911 · Phone (626) 403-2794
Location 24455 NE Highway 20Corvallis, OR 97330-9695 · Phone (541) 758-5900
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225539372, enumerated as an "individual" on February 23, 2018.
The provider is located at 7903 ELM AVE APT 33 RANCHO CUCAMONGA, CA 91730 and the phone number is (707) 816-8323.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
