Individual provider · Type 1 NPI

Katherine Deckard-Gonzales

Professional Counselor · Rockford, IL

NPI number 1649710112 Active

Practice location

1021 N Mulford Rd
Rockford, IL 61107-3877

Fax (815) 316-4726

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X178012801 (IL)

Professional Counselor: Definition to come...

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About NPI 1649710112

Katherine Deckard-Gonzales's National Provider Identifier is 1649710112, issued on Mar 3, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Mar 8, 2017.