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Organization

FUERZA DE LOS CHICANOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSE ANTONIO GONZALES LMSW (EXECUTIVE DIRECTOR)
(817) 504-4270
Entity
Organization

Contact information

Practice address
623 W MAIN ST, SUITE 316, ARLINGTON, TX 76010-1047
(817) 504-4270
Mailing address
623 W MAIN ST, SUITE 316, ARLINGTON, TX 76010-1047
(817) 504-4270

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
27167
TX

Other

Enumeration date
06/08/2011
Last updated
08/14/2011
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