Organization
INTEGRATED COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS E. GONZALEZ LCSW-R (PSYCHOTHERAPIST)
(917) 573-1387
Entity
Organization
Contact information
Practice address
3265 JOHNSON AVE, SUITE 204, BRONX, NY 10463-3539
(917) 573-1387
(718) 708-6179
Mailing address
3265 JOHNSON AVE, SUITE 204, BRONX, NY 10463-3539
(917) 573-1387
(718) 708-6179
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
081508
NY
Other
Enumeration date
07/08/2015
Last updated
01/14/2025
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