Individual
ERICA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2250 S WOODWORTH LOOP STE 202, PALMER, AK 99645-7457
(907) 761-5800
(907) 761-5801
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(866) 907-1068
(425) 917-9141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18079-130
WI
101YP2500X
Professional Counselor
Primary
166634
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003150004
—
WI
Enumeration date
08/29/2017
Last updated
08/30/2022
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