Organization
WILLIAM GONZALEZ
Active
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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