Provider Demographics
NPI:1215709621
Name:GONZALEZ, NAOMI RAQUEL (MS, LPC, NCC)
Entity type:Individual
Prefix:
First Name:NAOMI
Middle Name:RAQUEL
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 E ESPERANZA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1448
Mailing Address - Country:US
Mailing Address - Phone:956-413-7005
Mailing Address - Fax:956-277-9489
Practice Address - Street 1:713 E ESPERANZA AVE STE B
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1448
Practice Address - Country:US
Practice Address - Phone:956-961-9334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88425101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional