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
Certification Date: 2024-11-08
Details
Name | Value | ||||||||||||
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NPI | 1972828689 | ||||||||||||
Enumeration Date | 2010-04-06 | ||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||
Sole Proprietor | YES | ||||||||||||
Status | Active | ||||||||||||
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: | ||||||||||||
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