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Mr. Ivan Gonzalez JR., LMHC
Mental Health Counselor in Orlando, Florida
NPI 1083289359

Ivan Gonzalez JR. is a Mental Health Counselor based in Orlando, FL and is specialized in Mental Health. Ivan Gonzalez JR. practices in Orlando, FL and has the professional credentials of LMHC. The NPI Number for Ivan Gonzalez JR. is 1083289359 and holds a License No. MH12866 (Florida).

The current practice location address for Ivan Gonzalez JR. is 406 E Amelia St, Orlando, FL and can be reached out via phone at 321-529-9405.

Location: 406 E Amelia St, Orlando, FL, 32828-8732
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083289359
Provider Name
Ivan Gonzalez JR.
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
406 E Amelia St, Orlando, FL, 32828-8732
Phone Number
321-529-9405
Fax Number
Provider Enumeration Date
05/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
406 E Amelia St
City
Orlando
State
Florida
Zip
32803-5316
Phone Number
321-529-9405
Fax Number
person
Provider Business Mailing Address Details
Address
406 E Amelia St
City
Orlando
State
Florida
Zip
32803-5316
Phone Number
321-529-9405
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH12866 (Florida)
Definition
Definition to come...
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