Organization
WILLIAM GONZALEZ
Active
Other names
Show Low Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MARISSA GONZALEZ OM, BHS (OFFICE MANAGER, CREDENTIALING, BHS)
(951) 834-3406
Entity
Organization
Contact information
Practice address
1100 E DEUCE OF CLUBS STE D, SHOW LOW, AZ 85901-4943
(951) 834-3406
(951) 834-3406
Mailing address
PO BOX 440, VERNON, AZ 85940-0440
(951) 834-3406
(951) 834-3406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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