Individual
EMILY MICHELLE GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
217 N MOUNTIN DR, MAYVILLE, WI 53050-2903
(608) 334-1964
Mailing address
25 KESSEL CT, 105, MADISON, WI 53711-6227
(608) 280-2700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6657-125
WI
Other
Enumeration date
02/01/2017
Last updated
11/01/2019
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