| Laura Gonzales, M.a., L.p.c., N.c.c., P.l.l.c. | |
|
8715 W Union Hills Dr Suite 105 Peoria AZ 85382-3029 | |
| (602) 717-7213 | |
| (623) 566-2062 |
| Full Name | Laura Gonzales, M.a., L.p.c., N.c.c., P.l.l.c. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8715 W Union Hills Dr, Peoria, Arizona |
| Authorized Official Name and Position | Laura Geneva Gonzales (OWNER/MEMBER) |
| Authorized Official Contact | 6023270834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Gonzales, M.a., L.p.c., N.c.c., P.l.l.c. 34108 N 26th Ave Phoenix AZ 85085-5070 Ph: (602) 717-7213 | Laura Gonzales, M.a., L.p.c., N.c.c., P.l.l.c. 8715 W Union Hills Dr Suite 105 Peoria AZ 85382-3029 Ph: (602) 717-7213 |
| NPI Number | 1740423607 |
|---|---|
| Provider Enumeration Date | 04/08/2009 |
| Last Update Date | 04/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740423607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC13196 (Arizona) | Primary |
| 251S00000X | Community/behavioral Health | LPC13196 (Arizona) | Secondary |
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