Individual provider · Type 1 NPI
David Michael Gonzalez
Mental Health Counselor · Peoria, IL
NPI number
1235803438
Active
Practice location
3223 W Richwoods Blvd
Peoria, IL 61604-1082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180.013009 (IL) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1235803438
David Michael Gonzalez's National Provider Identifier is 1235803438, issued on Aug 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peoria, IL. The record was last updated on Aug 3, 2021.