Provider Demographics
NPI:1467832287
Name:GONZALES, RAMON (LPC)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:GONZALES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9210 VICTORY PASS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78240-1308
Mailing Address - Country:US
Mailing Address - Phone:210-204-4701
Mailing Address - Fax:
Practice Address - Street 1:9210 VICTORY PASS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-4028
Practice Address - Country:US
Practice Address - Phone:210-204-4701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-06
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional