Individual
RUBEN CARLOS GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
610 ARBOR ST, VANDENBRG AFB, CA 93437-1304
(323) 359-9125
Mailing address
8134 OLD KEENE MILL RD, SPRINGFIELD, VA 22152-1800
(703) 569-8731
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012071
VA
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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