Organization
AUSTIN GONZALEZ COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN GONZALEZ LMS (OWNER)
(517) 673-5693
Entity
Organization
Contact information
Practice address
154 ELMWOOD ST NE, GRAND RAPIDS, MI 49505-6223
(517) 673-5693
Mailing address
154 ELMWOOD ST NE, GRAND RAPIDS, MI 49505-6223
(517) 673-5693
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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