Individual provider · Type 1 NPI

Jose Raphael Gonzalez, PSY.D.

Mental Health Counselor · Fort Lauderdale, FL

NPI number 1104462647 Active

Practice location

1848 SE 1st Ave
Fort Lauderdale, FL 33316-2875

Call (954) 885-9500 Map

Mailing address

3400 SW 108th Ave
Miami, FL 33165-3510

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMH13471 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1104462647

Jose Raphael Gonzalez, PSY.D.'s National Provider Identifier is 1104462647, issued on Nov 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Nov 19, 2019.