| Doctor Name: | MRS. PAULA J GONZALEZ |
| NPI Number: | 1629475876 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A, LPC |
| License Number: | 178009528 |
| Business Practice Address: | 5201 Willow Springs Rd Suite 180 La Grange Highlands, IL - 605252689 |
| Business Phone Number: | 7085799605 |
| Business Fax Number: | |
| Mailing Address: | 5201 Willow Springs Rd, LA GRANGE HIGHLANDS |
| State: | IL |
| Postal Code: | 605256537 |
| Phone Number: | 7085799605 |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2014 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 178009528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |