Individual provider · Type 1 NPI

Diego Manuel Gonzalez

Mental Health Counselor · Miami, FL

NPI number 1245757277 Active

Practice location

2500 SW 107th Ave Ste 42
Miami, FL 33165-2492

Fax (786) 615-3257

Mailing address

472 NW 98th Ct
Miami, FL 33172-4037

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMH21881 (FL)

Mental Health Counselor: Definition to come...

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About NPI 1245757277

Diego Manuel Gonzalez's National Provider Identifier is 1245757277, issued on Aug 30, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Miami, FL. The record was last updated on Jan 3, 2022.