NPI 1003109307

Michelle Gonzalez

Practitioner Counselor Dixon, IL

Practice location

Address: 322 Depot Ave, Dixon, IL 61021-2850
Phone: (815) 288-6057

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1003109307
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2011
Record last updated: 25 May 2011

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.