Individual
ALFONSO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
3901 CHRYSLER DR STE 3B, DETROIT, MI 48201-2167
(313) 577-1396
(313) 577-1419
Mailing address
400 MACK AVE, DETROIT, MI 48201-2136
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704367893
MI
Other
Enumeration date
12/03/2024
Last updated
09/15/2025
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