Individual
WILLIAM GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
1100 E DEUCE OF CLUBS STE B, SHOW LOW, AZ 85901-4943
(951) 834-3406
Mailing address
PO BOX 440, VERNON, AZ 85940-0440
(951) 834-3406
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18312
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18312
—
AZ
Enumeration date
11/16/2007
Last updated
08/18/2021
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