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Individual
JOSE ANGEL GONZALEZ JR.
Active
Individual
JOSE ANGEL GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
5729
TX
101YM0800X
Mental Health Counselor
19107
TX
101YP2500X
Professional Counselor
Primary
19107
TX
101YP2500X
Professional Counselor
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179536101
—
TX
01
—
7292LC
BCBS PROVIDER NUMBER
TX
Enumeration date
08/30/2006
Last updated
02/17/2017
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