Individual
JOSE DANIEL GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2898 NW 79TH AVE, DORAL, FL 33122-1033
(305) 597-3861
Mailing address
9472 SW 77TH AVE APT P2, MIAMI, FL 33156-7985
(305) 965-4104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
05/30/2023
Last updated
06/05/2023
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