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General NPI Number Information
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NPI Number | 1720459464
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Entity Type | Organization
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Legal Business Name | GONZALEZ COUNSELING PC
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Dates
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Enumeration Date | 10/07/2015
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Last Update Date | 10/07/2015
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Provider Practice Location Address
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Address Line | 18534 FORTY SIX PKWY SUITE 4
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City | SPRING BRANCH
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State | TX
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Zip | 78070-6876
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Country | US
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Telephone | 972-979-7986
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Fax | 866-432-0711
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Provider Business Mailing Address
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Address Line | 18534 FORTY SIX PKWY SUITE 4
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City | SPRING BRANCH
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State | TX
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Zip | 78070-6876
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Country | US
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Telephone | 972-979-7986
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Fax | 866-432-0711
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Authorized Official
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Title or Position | OWNER
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Name | BRIANNA LEIGH GONZALEZ
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Credential | LPC
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Telephone | 972-979-7986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 71566
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License Number State | TX
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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 | 71566
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 71566
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 71566
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 71566
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 71566
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License Number State | TX
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