Individual
ANDREA GUADALUPE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, MS, NBCC
Contact information
Practice address
1722 S GLENSTONE AVE STE H, SPRINGFIELD, MO 65804
(417) 929-1240
Mailing address
1722 S GLENSTONE AVE STE H, SPRINGFIELD, MO 65804-1513
(417) 929-1240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2017026448
MO
Other
Enumeration date
08/18/2017
Last updated
04/24/2023
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