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General NPI Number Information
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NPI Number | 1245770577
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Entity Type | Individual
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Provider Name | GABRIEL MUNOZ LMHC
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Gender | Male
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Dates
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Enumeration Date | 03/06/2017
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Last Update Date | 10/21/2019
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Provider Practice Location Address
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Address Line | 2465 MERCER AVE STE 206
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City | WEST PALM BEACH
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State | FL
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Zip | 33401
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Country | US
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Telephone | 561-618-9912
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Fax |
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Provider Business Mailing Address
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Address Line | 4290 DESTE CT APT 206
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City | LAKE WORTH
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State | FL
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Zip | 33467-4198
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Country | US
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Telephone | 561-618-9912
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH14993
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH16476
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License Number State | FL
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