Individual
JESUS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9528 S AVENUE L, CHICAGO, IL 60617-5120
(773) 933-1627
Mailing address
9528 S AVENUE L, CHICAGO, IL 60617-5120
(773) 933-1627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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