Individual
JACQUELINE GONZALEZ-RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
148 HICKORY VALLEY RD, SAINT ROBERT, MO 65584-3227
(512) 808-7534
Mailing address
148 HICKORY VALLEY RD, SAINT ROBERT, MO 65584-3227
(512) 808-7534
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
77909
TX
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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