Provider Information for 1942748710
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
EMILY MICHELLE GONZALEZ LPC
Other Names:Former Name:EMILY MICHELLE LINK LPCSex: Female
NPI: 1942748710
Last Updated: 2019-11-01
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942748710 | ||||||||
| Enumeration Date | 2017-02-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 25 KESSEL CT 105 MADISON, WI 53711-6227 United States Phone: 608-280-2700 | Fax: | ||||||||
| Primary Practice Address | 217 N MOUNTIN DR MAYVILLE, WI 53050-2903 United States Phone: 608-334-1964 | Fax: | ||||||||
| Secondary Practice Address(es) | |||||||||
| Health Information Exchange |
| ||||||||
| Other Identifiers |
| ||||||||
| Taxonomy |
|