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1083289359
IVAN GONZALEZ
ORLANDO, FL
NPI
1083289359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: FL MH12866)
Enumeration Date
2021-05-20
Last Update Date
2021-05-20
Business Address
Mr. IVAN GONZALEZ LMHC
406 E AMELIA ST
ORLANDO, FL 32803-5316
Phone number: 321-529-9405
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Mailing Address
Mr. IVAN GONZALEZ LMHC
1969 S ALAFAYA TRL # 259
ORLANDO, FL 32828-8732
Phone number: 321-529-9405
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