Individual
CHRISTIAN GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1150 S SEMORAN BLVD STE A, ORLANDO, FL 32807-1424
(407) 704-7811
Mailing address
9585 BACCHUS TRL, ORLANDO, FL 32829-7705
(407) 452-9339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
05/03/2018
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