| Integrated Counseling Lcsw Pllc | |
|
3265 Johnson Ave Suite 204 Bronx NY 10463-3539 | |
| (917) 573-1387 | |
| (718) 708-6179 |
| Full Name | Integrated Counseling Lcsw Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3265 Johnson Ave, Bronx, New York |
| Authorized Official Name and Position | Thomas E. Gonzalez (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9175731387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Counseling Lcsw Pllc 3265 Johnson Ave Suite 204 Bronx NY 10463-3539 Ph: (917) 573-1387 | Integrated Counseling Lcsw Pllc 3265 Johnson Ave Suite 204 Bronx NY 10463-3539 Ph: (917) 573-1387 |
| NPI Number | 1922481969 |
|---|---|
| Provider Enumeration Date | 07/08/2015 |
| Last Update Date | 11/01/2022 |
| Certification Date | 11/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922481969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 081508 (New York) | Primary |
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