Michelle Gonzalez

NPI #1003109307 in Dixon, Illinois

Provider Information

NPI Number: 1003109307
Entity Type: Individual
Name: Michelle Gonzalez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: May 18, 2011
Last Updated: May 25, 2011

Practice Location

Address: 322 DEPOT AVE
City: Dixon
State: Illinois
ZIP Code: 61021-2850
Phone: (815) 288-6057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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