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NPI Code Detail

MEDICARE: MARIANA GONZALEZ-PEREZ LCMHC-A

MEDICARE: MARIANA GONZALEZ-PEREZ LCMHC-A
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 CounselorA22342NC

General Provider Information

NPI Number : 1841159498
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIANA GONZALEZ-PEREZ LCMHC-A
Provider Business Mailing Address
First Line : 501 BILLINGSLEY RD STE B
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-1009
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 501 BILLINGSLEY RD STE B
Second Line : CMC PSYCHIATRY AND BEHAVIORAL HEALTH
City : CHARLOTTE
State : NC
Zip : 28211-1009
Country : US
Telephone Number : 704-444-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ MARIANA GONZALEZ-PEREZ LCMHC-A” Practice Location

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