Individual
PAULINE B GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
63 S WRIGHT ST, ALICE, TX 78332-4905
(361) 664-8829
Mailing address
63 S WRIGHT ST, ALICE, TX 78332-4905
(361) 664-8829
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10511
TX
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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