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NPI Code Detail

MEDICARE: ESMERALDA GONZALEZ LPC

MEDICARE: ESMERALDA GONZALEZ LPC
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
1101YP2500XProfessional Counselor78057TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
178057OTHERTXTEXAS STATE BAORD F EXAMINERS OF PROFESSIONAL COUNSELORS

General Provider Information

NPI Number : 1235696535
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESMERALDA GONZALEZ LPC
Provider Business Mailing Address
First Line : 11777 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1721
Country : US
Telephone Number : 713-365-0700
Fax Number : 713-827-1080
Provider Business Practice Location Address
First Line : 11777 KATY FWY STE 350
Second Line :
City : HOUSTON
State : TX
Zip : 77079-1721
Country : US
Telephone Number : 713-365-0700
Fax Number : 713-827-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2019
Last Update Date : 11/16/2022

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Directions to “ ESMERALDA GONZALEZ LPC” Practice Location

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