| NPI | 1255923454 |
|---|---|
| Other Name | JEREMY GONZALEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 71891) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14033) |
| 101YM0800X Counselor, Mental Health (Licence: TX 71891) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2022-05-03 |