Individual
AUSTIN LEE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
113 UNIVERSITY PL, NEW YORK, NY 10003-4527
(917) 960-9500
Mailing address
354 E 91ST ST APT 1506, NEW YORK, NY 10128-0065
(850) 322-7797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NY
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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