Individual
ANA LUCIA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 PILLING ST, BROOKLYN, NY 11207-1610
(718) 602-1000
Mailing address
13814 107TH AVE, JAMAICA, NY 11435-5203
(347) 624-2439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2021
Last updated
06/29/2022
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