Provider Demographics
NPI:1962394486
Name:GONZALEZ, DANIELA (LPCC)
Entity type:Individual
Prefix:
First Name:DANIELA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 XENIUM LN N STE 130
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-2623
Mailing Address - Country:US
Mailing Address - Phone:763-292-2368
Mailing Address - Fax:763-545-8150
Practice Address - Street 1:2950 XENIUM LN N STE 130
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-2623
Practice Address - Country:US
Practice Address - Phone:763-292-2368
Practice Address - Fax:763-545-8150
Is Sole Proprietor?:No
Enumeration Date:2025-07-18
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN5086101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health