Provider Demographics
NPI:1477343945
Name:GONZALEZ, ANGELICA MARIA (MS)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:MARIA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9112 YONATH ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827-3824
Mailing Address - Country:US
Mailing Address - Phone:407-728-9647
Mailing Address - Fax:
Practice Address - Street 1:9112 YONATH ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827-3824
Practice Address - Country:US
Practice Address - Phone:407-728-9647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-08
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health