Individual
JOSE GONZALEZ II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
640 SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103-1603
(269) 471-5968
Mailing address
1910 SUNSET DR, SAINT JOSEPH, MI 49085-1757
(269) 985-8804
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401013061
MI
Other
Enumeration date
03/01/2013
Last updated
03/17/2018
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