Provider Demographics
NPI:1467519637
Name:GONZALEZ, NOEL CHRISTIAN (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:NOEL
Middle Name:CHRISTIAN
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 NORTHWOOD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77009-5320
Mailing Address - Country:US
Mailing Address - Phone:281-501-3683
Mailing Address - Fax:832-201-9956
Practice Address - Street 1:401 NORTHWOOD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-5320
Practice Address - Country:US
Practice Address - Phone:281-501-3683
Practice Address - Fax:832-201-9956
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18347101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX719492000OtherMAGELLAN PROVIDER NUMBER
TX719492000OtherMAGELLAN PROVIDER NUMBER