Individual
JOSE LUIS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 HOPE MILLS RD, FAYETTEVILLE, NC 28304-4234
(910) 491-6011
Mailing address
2312 SPINDLE TREE DR, FAYETTEVILLE, NC 28304-4834
(832) 431-7944
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
13392
NC
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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