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1164904124
MIGUEL GONZALEZ
SALEM, OR
NPI
1164904124
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-05
Last Update Date
2018-09-05
Business Address
MIGUEL GONZALEZ MS,OBLPCT LPC Intern
4890 32ND AVE SE
SALEM, OR 97317-9350
Phone number: 503-588-5647
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Mailing Address
MIGUEL GONZALEZ MS,OBLPCT LPC Intern
PO BOX 946
PHILOMATH, OR 97370-0946
Phone number: 503-562-9505
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