NPI 1003066408

Antonio Gonzales, LPC

Practitioner Professional Counselor Dallas, TX

Practice location

Address: 8625 King George Dr Suite 111, Dallas, TX 75235-2215
Phone: (214) 631-7002
Fax: (214) 631-6698

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 20332 (TX)

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Registry record

NPI: 1003066408
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Sep 2008
Record last updated: 23 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.