Individual
SALLY ANNE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
47818 VAN DYKE AVE, SHELBY TOWNSHIP, MI 48317-3373
(586) 323-3260
Mailing address
51363 TIMES SQUARE DR, SHELBY TOWNSHIP, MI 48315-2456
(815) 975-8572
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401222955
MI
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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