| Doctor Name: | ANTONIO GONZALES |
| NPI Number: | 1003066408 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 20332 |
| Business Practice Address: | 8625 King George Dr Suite 111 Dallas, TX - 752352215 |
| Business Phone Number: | 2146317002 |
| Business Fax Number: | 2146316698 |
| Mailing Address: | 8625 King George Dr, Suite 111 DALLAS |
| State: | TX |
| Postal Code: | 752352215 |
| Phone Number: | 2146317002 |
| Fax Number: | 2146316698 |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 09/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 20332 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |