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David Michael Gonzalez
Mental Health Counselor in Peoria, Illinois
NPI 1235803438

David Michael Gonzalez is a Mental Health Counselor based in Peoria, IL and is specialized in Mental Health. David Michael Gonzalez practices in Peoria, IL. The NPI Number for David Michael Gonzalez is 1235803438 and holds a License No. 180.013009 (Illinois).

The current practice location address for David Michael Gonzalez is 3223 W Richwoods Blvd, Peoria, IL and can be reached out via phone at 309-685-5241.

Location: 3223 W Richwoods Blvd, Peoria, IL, 61604-1082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235803438
Provider Name
David Michael Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
3223 W Richwoods Blvd, Peoria, IL, 61604-1082
Phone Number
309-685-5241
Fax Number
Provider Enumeration Date
08/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3223 W Richwoods Blvd
City
Peoria
State
Illinois
Zip
61604-1082
Phone Number
309-685-5241
Fax Number
person
Provider Business Mailing Address Details
Address
3223 W Richwoods Blvd
City
Peoria
State
Illinois
Zip
61604-1082
Phone Number
309-685-5241
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
180.013009 (Illinois)
Definition
Definition to come...
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