Provider Demographics
NPI:1699210963
Name:SALVADOR-GONZALEZ, CELESTE (LMSW)
Entity type:Individual
Prefix:
First Name:CELESTE
Middle Name:
Last Name:SALVADOR-GONZALEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:CELESTE
Other - Middle Name:
Other - Last Name:ALANIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:6687 SEECO DR
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-5970
Mailing Address - Country:US
Mailing Address - Phone:269-372-8800
Mailing Address - Fax:269-372-8855
Practice Address - Street 1:601 S US HIGHWAY 131
Practice Address - Street 2:
Practice Address - City:THREE RIVERS
Practice Address - State:MI
Practice Address - Zip Code:49093-8831
Practice Address - Country:US
Practice Address - Phone:269-286-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-22
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010999731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical