person
Mr. Mark Gonzales, LPC
Mental Health Counselor in Oklahoma City, Oklahoma
NPI 1700057130

Mark Gonzales is a Mental Health Counselor based in Oklahoma City, OK and is specialized in Mental Health. Mark Gonzales practices in Oklahoma City, OK and has the professional credentials of LPC. The NPI Number for Mark Gonzales is 1700057130 and holds a License No. 2458 (Oklahoma).

The current practice location address for Mark Gonzales is 3035 Nw 63Rd St, Oklahoma City, OK and can be reached out via phone at 405-242-5342 and via fax at 405-529-6972.

Location: 3035 Nw 63Rd St, Oklahoma City, OK, 73116-3632
person
Provider Profile Details
NPI Number
1700057130
Provider Name
Mark Gonzales
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3035 Nw 63Rd St, Oklahoma City, OK, 73116-3632
Phone Number
405-242-5342
Fax Number
405-529-6972
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200305510A 05 OK
institution
Provider Business Practice Location Address Details
Address
3035 Nw 63Rd St
City
State
Zip
73116-3632
Phone Number
405-242-5342
Fax Number
405-529-6972
person
Provider Business Mailing Address Details
Address
3035 Nw 63Rd St
City
State
Zip
73116-3632
Phone Number
405-242-5342
Fax Number
405-529-6972
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2458 (Oklahoma)
Definition
Definition to come...
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