Provider Demographics
NPI:1407454242
Name:GONZALEZ, RINA RAMIREZ (MED,LPC)
Entity Type:Individual
Prefix:MRS
First Name:RINA
Middle Name:RAMIREZ
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MED,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:817 E ESPERANZA AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1403
Mailing Address - Country:US
Mailing Address - Phone:956-664-0003
Mailing Address - Fax:956-664-1529
Practice Address - Street 1:817 E ESPERANZA AVE
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-1403
Practice Address - Country:US
Practice Address - Phone:956-664-0003
Practice Address - Fax:956-664-1529
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX57171101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional