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Organization
LAURA GONZALES, M.A., L.P.C., N.C.C., P.L.L.C.
Active
Organization
LAURA GONZALES, M.A., L.P.C., N.C.C., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA GENEVA GONZALES MA, LPC, NCC, IMH-E (OWNER/MEMBER)
(602) 327-0834
Entity
Organization
Contact information
Practice address
8715 W UNION HILLS DR, SUITE 105, PEORIA, AZ 85382-3029
(602) 717-7213
(623) 566-2062
Mailing address
34108 N 26TH AVE, PHOENIX, AZ 85085-5070
(602) 717-7213
(623) 566-2062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC13196
AZ
251S00000X
Community/Behavioral Health Agency
LPC13196
AZ
Other
Enumeration date
04/08/2009
Last updated
04/28/2010
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