Individual provider · Type 1 NPI

Miguel Gonzalez, MS, OBLPCT LPC INTERN

Mental Health Counselor · Salem, OR

NPI number 1164904124 Active

Practice location

4890 32nd Ave SE
Salem, OR 97317-9350

Mailing address

PO Box 946
Philomath, OR 97370-0946

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164904124

Miguel Gonzalez, MS, OBLPCT LPC INTERN's National Provider Identifier is 1164904124, issued on Sep 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Sep 5, 2018.