# JUAN CARLOS GONZALEZ, LMFT, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730893132
- **Authorized official:** MR. JUAN CARLOS GONZALEZ MS (PRESIDENT)
- **Authorized official phone:** (786) 229-2614

## Contact information

- **Practice address:** 7765 SW 87TH AVE STE 104, MIAMI, FL 33173-2535
- **Practice address phone:** (786) 229-2614
- **Mailing address:** 7765 SW 87TH AVE STE 104, MIAMI, FL 33173-2535
- **Mailing address phone:** (786) 229-2614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2023
- **Last updated:** 01/10/2023