Individual
EVA M GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHP
Contact information
Practice address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
(308) 632-8547
(308) 632-0135
Mailing address
2622 AVENUE C, SCOTTSBLUFF, NE 69361-1680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11396
NE
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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