Mark Gonzales in Oklahoma City - Mental Health
Mark Gonzales - NPI 1700057130
Mark Gonzales is a Mental Health in Oklahoma City, Oklahoma. Mark Gonzales practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mark Gonzales is 1700057130. The last update date is 2015-03-26.
Mark Gonzales's current location address is 3035 Nw 63rd St, Oklahoma City, Oklahoma. You can contact this provider via phone number 4052425342 and fax number 4055296972. The mailing address for Mark Gonzales is 3035 Nw 63rd St, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Gonzales |
|---|---|
| Address | 3035 Nw 63rd St, Oklahoma City, Oklahoma |
| Phone Number | 4052425342 |
| Fax Number | 4055296972 |
| Sole Proprietor | Y |
| Credentials | L.P.C. |
NPI Number Detail
| NPI Number | 1700057130 |
|---|---|
| Provider Enumeration Date | 2008-03-13 |
| Last Updated Date | 2015-03-26 |
Provider Mailing Address Detail
| Address | 3035 Nw 63rd St |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 731163632 |
| Phone Number | 4052425342 |
| Fax Number | 4055296972 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 2458 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200305510A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Gonzales by the Centers for Medicare & Medicaid Services?
The Mark Gonzales has been assigned the NPI (National Provider Identifier) 1700057130. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mark Gonzales is physically located?
The Mark Gonzales is physically situated at the following address: 3035 Nw 63Rd St, Oklahoma City, OK, 731163632.
What is the Mark Gonzales's specialty and taxonomy code?
The Mark Gonzales's specialty is Mental Health, and the corresponding taxonomy code is 101Ym0800X.
When was the Mark Gonzales's 1700057130 issued?
The Mark Gonzales's 1700057130 was issued on 2008-03-13.
As of what date were the details related to Mark Gonzales most recently updated or revised?
The information pertaining to Mark Gonzales, including its address, specialty, and other relevant details, was last updated or revised on 2015-03-26.
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