# LAURA GONZALES, M.A., L.P.C., N.C.C., P.L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740423607
- **Authorized official:** MS. LAURA GENEVA GONZALES MA, LPC, NCC, IMH-E (OWNER/MEMBER)
- **Authorized official phone:** (602) 327-0834

## Contact information

- **Practice address:** 8715 W UNION HILLS DR, SUITE 105, PEORIA, AZ 85382-3029
- **Practice address phone:** (602) 717-7213
- **Practice address fax:** (623) 566-2062
- **Mailing address:** 34108 N 26TH AVE, PHOENIX, AZ 85085-5070
- **Mailing address phone:** (602) 717-7213
- **Mailing address fax:** (623) 566-2062

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LPC13196 | AZ | Yes |
| 251S00000X | Community/Behavioral Health Agency | LPC13196 | AZ | — |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/28/2010