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Individual

EMMA JANE GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AAS, LCDCII

Contact information

Practice address
799 S MAIN ST, LIMA, OH 45804-1519
(419) 229-2222
Mailing address
932 N MAIN ST, LIMA, OH 45801-3602
(419) 516-1656

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
03/15/2018
Last updated
08/16/2025
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