Provider Demographics
NPI:1699659714
Name:JULIO A. GONZALES FAMILY THERAPIST AP CORP
Entity type:Organization
Organization Name:JULIO A. GONZALES FAMILY THERAPIST AP CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:GONZALES
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:510-439-7230
Mailing Address - Street 1:2873 12TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN PABLO
Mailing Address - State:CA
Mailing Address - Zip Code:94806-2217
Mailing Address - Country:US
Mailing Address - Phone:510-439-7230
Mailing Address - Fax:
Practice Address - Street 1:2873 12TH ST
Practice Address - Street 2:
Practice Address - City:SAN PABLO
Practice Address - State:CA
Practice Address - Zip Code:94806-2217
Practice Address - Country:US
Practice Address - Phone:510-439-7230
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty