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Individual
ROSS RICHARD GONZALES
Active
Individual
ROSS RICHARD GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C5185
OR
101YM0800X
Mental Health Counselor
Primary
C5185
OR
101YP2500X
Professional Counselor
C5185
OR
Other
Enumeration date
02/08/2016
Last updated
04/04/2019
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