Individual
EMILY ELIZABETH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MHP
Contact information
Practice address
3304 RIDGEWOOD DR, CHAMPAIGN, IL 61821-3463
(815) 666-2557
Mailing address
3304 RIDGEWOOD DR, CHAMPAIGN, IL 61821-3463
(815) 666-2557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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