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Individual

ARTHUR ROMAN GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
1633 E US HIGHWAY 66, EL RENO, OK 73036-5769
(405) 905-9380
Mailing address
1103 W WADE ST, EL RENO, OK 73036-2352
(405) 905-9380

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
4982
OK
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100731420A
OK
Enumeration date
05/24/2010
Last updated
07/09/2014
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