Most Relevant Information
Provider Data
| NPI Number: | 1003066408 |
| Provider Name: | ANTONIO GONZALES LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 20332 |
Most Important Dates
| Enumeration Date: | 09/23/2008 |
| Last Updated: | 09/23/2008 |
Provider Practice Location
8625 KING GEORGE DR
SUITE 111
DALLAS
TX
752352215
Practice Location Phone/Fax
| Phone: | 2146317002 |
| Fax: | 2146316698 |
Provider Mailing Location
8625 KING GEORGE DR
SUITE 111
DALLAS
TX
752352215
Provider Mailing Phone/Fax
| Phone: | 2146317002 |
| Fax: | 2146316698 |