| Doctor Name: | ADA A. GONZALEZ |
| NPI Number: | 1831299239 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | IMT 214 |
| Business Practice Address: | 4469 Nw 167th St. Opalocka, FL - 33055 |
| Business Phone Number: | 3056211455 |
| Business Fax Number: | 3056215508 |
| Mailing Address: | 11031 Ne 6th Ave., MIAMI |
| State: | FL |
| Postal Code: | 33161 |
| Phone Number: | 3053986100 |
| Fax Number: | 3057574465 |
| NPI Enumeration Date: | 09/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | IMT 214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |