Individual
MR. BENANCIO GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASE MANAGEMENT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
63944
TX
101YM0800X
Mental Health Counselor
63944
TX
101YP2500X
Professional Counselor
63944
TX
171M00000X
Case Manager/Care Coordinator
63944
TX
251B00000X
Case Management Agency
Primary
63944
TX
Other
Enumeration date
04/14/2010
Last updated
03/01/2023
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