Organization
DIGNITY LIFE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK RAY GONZALEZ LPC (OWNER)
(623) 734-2224
Entity
Organization
Contact information
Practice address
21397 W TERRI LEE DR, BUCKEYE, AZ 85396-2457
(623) 734-2224
Mailing address
21397 W TERRI LEE DR, BUCKEYE, AZ 85396-2457
(623) 734-2224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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