Individual
AMANTE JORDAN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LLPC
Contact information
Practice address
5675 FAIRVIEW ST, STEVENSVILLE, MI 49127-1033
(269) 429-7727
Mailing address
4411 INTERNATIONAL CT APT A47, BERRIEN SPRINGS, MI 49103-1720
(269) 944-9230
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401016896
MI
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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