Individual
CANDLER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 258-2974
Mailing address
PO BOX 353, PALM CITY, FL 34991-0353
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH21688
FL
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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