Individual
BASTI GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7005 JERICHO TREE DR, EL PASO, TX 79934-3322
(915) 630-6177
Mailing address
7005 JERICHO TREE DR, EL PASO, TX 79934-3322
(915) 630-6177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
14248
TX
1041C0700X
Clinical Social Worker
Primary
110920
TX
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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