Individual
CELY MARIE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1601 PARK CENTER DR STE 7, ORLANDO, FL 32835-5700
(407) 730-3554
(407) 601-3992
Mailing address
4367 THORNBRIAR LN APT 203, ORLANDO, FL 32822-2277
(321) 948-6057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMH15545
FL
101YM0800X
Mental Health Counselor
Primary
IMH15545
FL
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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