Individual
MR. DIEGO ALEJANDRO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
2640 FOREST HILL BLVD, PALM SPRINGS, FL 33406-5931
(561) 616-8411
Mailing address
2640 FOREST HILL BLVD, PALM SPRINGS, FL 33406-5931
(561) 616-8411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/25/2019
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