Individual
VANESSA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
423 E GRIFFIN PKWY, MISSION, TX 78572-2915
(956) 703-7585
Mailing address
PO BOX 653, EDINBURG, TX 78540-0653
(956) 703-7585
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40005
TX
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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