Provider Demographics
NPI:1952614166
Name:TALER, JO ANN GONZALEZ (LPC)
Entity Type:Individual
Prefix:MS
First Name:JO ANN
Middle Name:GONZALEZ
Last Name:TALER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2038 S SHORE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:TX
Mailing Address - Zip Code:77356-4807
Mailing Address - Country:US
Mailing Address - Phone:832-715-8601
Mailing Address - Fax:936-647-1395
Practice Address - Street 1:3307 W DAVIS ST
Practice Address - Street 2:SUITE C
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1861
Practice Address - Country:US
Practice Address - Phone:832-715-8601
Practice Address - Fax:936-647-1395
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62232101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional