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Michael J Gonzalez, MACP

Counselor, Mental Health in Miami Gardens, FL. Individual provider (NPI-1).

NPI number1194199810
StatusActive
Last updated in NPPESNov 18, 2015

Details

NPI
1194199810
Entity type
Individual (NPI-1)
Name
Mr. Michael J Gonzalez
Credential
MACP
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 18, 2015
Last updated
Nov 18, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental HealthIMH11450FLYes

Practice location

20000 Nw 47th Ave
Hector Building (#2)
Miami Gardens, FL 33055-1543

Phone 305-430-0085 · Fax 305-474-1312

Mailing address

20000 Nw 47th Ave
Hector Building (#2)
Miami Gardens, FL 33055-1543

Phone 305-430-0085 · Fax 305-474-1312

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