Individual
FABIOLA P GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, MC
Contact information
Practice address
13674 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 851-3927
Mailing address
13674 W HILLSBOROUGH AVE, TAMPA, FL 33635-9638
(813) 851-3927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MT4296
FL
106H00000X
Marriage & Family Therapist
Primary
MT4296
FL
Other
Enumeration date
06/27/2024
Last updated
07/23/2024
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