person
Gustavo Gonzalez, LPC
Professional Counselor in Conroe, Texas
NPI 1710574058

Gustavo Gonzalez is a Professional Counselor based in Conroe, TX and is specialized in Professional. Gustavo Gonzalez practices in Conroe, TX and has the professional credentials of LPC. The NPI Number for Gustavo Gonzalez is 1710574058 and holds a License No. 77612 (Texas).

The current practice location address for Gustavo Gonzalez is 605 S Conroe Medical Dr, Conroe, TX and can be reached out via phone at 936-539-4004 and via fax at 936-539-3635.

Location: 605 S Conroe Medical Dr, Conroe, TX, 77304-4722
person
Provider Profile Details
NPI Number
1710574058
Provider Name
Gustavo Gonzalez
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
605 S Conroe Medical Dr, Conroe, TX, 77304-4722
Phone Number
936-539-4004
Fax Number
936-539-3635
Provider Enumeration Date
12/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4187866-01 05 TX
institution
Provider Business Practice Location Address Details
Address
605 S Conroe Medical Dr
City
State
Zip
77304-4722
Phone Number
936-539-4004
Fax Number
936-539-3635
person
Provider Business Mailing Address Details
Address
605 S Conroe Medical Dr
City
State
Zip
77304-4722
Phone Number
936-539-4004
Fax Number
936-539-3635
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
77612 (Texas)
Definition
Definition to come...
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