Organization Name: | GONZALEZ COUNSELING PC |
NPI Number: | 1720459464 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIANNA LEIGH GONZALEZ (OWNER) |
Mailing Address: | 18534 Forty Six Pkwy Suite 4 Spring Branch |
State: | TX US |
Postal Code: | 780706876 |
Phone Number: | 9729797986 |
Fax Number: | 8664320711 |
NPI Enumeration Date: | 10/07/2015 |
NPI Last Update Date: | 10/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 71566 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |