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Provider Information for 1972828689


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ORLANDO GONZALEZ TLMHC, LPC


Sex: Male

NPI: 1972828689
Last Updated: 2024-11-08
Certification Date: 2024-11-08

Details

NameValue
NPI1972828689
Enumeration Date2010-04-06
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1690 S TELSHOR BLVD
LAS CRUCES, NM 88011-4889
United States

Phone: 575-556-8470 | Fax:
 
Primary Practice Address 1690 S TELSHOR BLVD
LAS CRUCES, NM 88011-4889
United States

Phone: 575-556-8470 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthNMT-0129941
Yes 101YP2500X - Counselor - ProfessionalTX65222