Individual
CONSTANCE L. GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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