Basic Information
| Provider Information | |||||||||
| NPI: | 1205434784 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GONZALEZ CORDERO | ||||||||
| FirstName: | MARIA PAZ | ||||||||
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| Credential: | AMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1700 SAND HILL RD APT 409 | ||||||||
| Address2: | |||||||||
| City: | PALO ALTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 943042106 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6504229977 | ||||||||
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| Practice Location | |||||||||
| Address1: | 102 S 11TH ST | ||||||||
| Address2: | |||||||||
| City: | SAN JOSE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 951122132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4089985191 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2020 | ||||||||
| LastUpdateDate: | 10/15/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/15/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YA0400X | N | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 106H00000X | 102843 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.