Vincent Tong Gonzales | Las Vegas, NV • PECOS Search

Vincent Tong Gonzales

Counselor

Behavioral Health & Social Service Providers

6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126

PECOS Enrollment

Based on the most recent information from CMS, provider Vincent Tong Gonzales does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1972159325
Provider Type
Individual
Full Name
Gonzales, Vincent Tong
Gender
Male

Sole Proprietor
No
Enumeration Date
8/12/2019
Last Updated
8/12/2019

Contact Information

Practice Location

6171 W Charleston Blvd Bldg 14, Las Vegas, NV 89146-1126

Unlisted Fax

Mailing Location

PO Box 13493, Las Vegas, NV 89112-1493

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer