Individual provider · Type 1 NPI

Lissette Gonzalez

Mental Health Counselor · Bronx, NY

NPI number 1053922666 Active

Practice location

3265 Johnson Ave Ste 105
Bronx, NY 10463-3539

Call (917) 208-4093 Map

Specialties and licenses

TaxonomyCodeLicense
School Counselor 101YS0200XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053922666

Lissette Gonzalez's National Provider Identifier is 1053922666, issued on Aug 17, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bronx, NY. The record was last updated on Aug 17, 2020.