Individual
ISSAC PAUL GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 N PROFESSIONAL WAY, SUITE 4, PAYSON, UT 84651-1678
(801) 980-2566
(801) 610-2017
Mailing address
701 N BLACKHORSE DR, SPANISH FORK, UT 84660-5020
(801) 200-9256
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/13/2023
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