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General NPI Number Information
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NPI Number | 1881221612
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Entity Type | Individual
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Provider Name | VIVIAN ESTHER GONZALEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 740 AVE HOSTOS STE 103
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1540
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Country | US
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Telephone | 787-485-0555
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3844
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City | MAYAGUEZ
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State | PR
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Zip | 00681-3844
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Country | US
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Telephone | 787-485-0555
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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 | MH25854
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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 | 00440
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 004440
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 00440
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License Number State | PR
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH25854
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MH25854
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License Number State | FL
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