Provider Demographics
NPI:1053514687
Name:GONZALEZ, CHRIS J (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:J
Last Name:GONZALEZ
Suffix:
Gender:M
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 TROUSDALE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37204-4513
Mailing Address - Country:US
Mailing Address - Phone:615-781-3000
Mailing Address - Fax:615-781-8262
Practice Address - Street 1:4555 TROUSDALE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37204-4513
Practice Address - Country:US
Practice Address - Phone:615-781-3000
Practice Address - Fax:615-781-8262
Is Sole Proprietor?:No
Enumeration Date:2007-06-10
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1596106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN673G4GOOtherBLUE CROSS BLUE SHIELD