Individual
MR. JAIME GONZALEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1366A SE WASHINGTON BLVD, BARTLESVILLE, OK 74006-4519
(918) 333-0222
Mailing address
219 S FENWAY PL, BARTLESVILLE, OK 74006-2716
(918) 440-5927
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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