Provider Demographics
NPI:1518558006
Name:GONZALES, FRANCISCO ROMALDO (MED, LPC, NCC)
Entity Type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:ROMALDO
Last Name:GONZALES
Suffix:
Gender:M
Credentials:MED, LPC, NCC
Other - Prefix:
Other - First Name:CISCO
Other - Middle Name:
Other - Last Name:GONZALES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MED, LPC, NCC
Mailing Address - Street 1:4428 GLENDALE ST
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2851
Mailing Address - Country:US
Mailing Address - Phone:504-329-6404
Mailing Address - Fax:
Practice Address - Street 1:3350 RIDGELAKE DR STE 289
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3836
Practice Address - Country:US
Practice Address - Phone:504-285-8009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA8426101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator