Individual
GIZELLE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2804 W BELMONT AVE STE 103, CHICAGO, IL 60618-5879
(224) 504-9854
Mailing address
2804 W BELMONT AVE STE 103, CHICAGO, IL 60618-5879
(224) 504-9854
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
N/A
—
Enumeration date
03/02/2021
Last updated
03/02/2021
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