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NPI Code Detail

MEDICARE: CINDY GONZALEZ LCSW

MEDICARE:   CINDY  GONZALEZ  LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker60611TX

General Provider Information

NPI Number : 1033748280
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY GONZALEZ LCSW
Provider Business Mailing Address
First Line : 2305 LINDELL AVE
Second Line :
City : SAN ANGELO
State : TX
Zip : 76901-2013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4240 SOUTHWEST BLVD
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-5634
Country : US
Telephone Number : 800-472-1365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 07/01/2025

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Directions to “ CINDY GONZALEZ LCSW” Practice Location

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