MIGUEL GONZALEZ

SALEM, OR
NPI1164904124
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-09-05
Last Update Date2018-09-05
Business Address
MIGUEL GONZALEZ MS,OBLPCT LPC Intern
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
Mailing Address
MIGUEL GONZALEZ MS,OBLPCT LPC Intern
PO BOX 946
PHILOMATH, OR 97370-0946
Phone number: 503-562-9505