Individual
ANDREA J. GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
117 SOUTHBRIDGE ST, SAN ANTONIO, TX 78216-6229
(210) 535-8610
(210) 525-9515
Mailing address
PO BOX 681884, SAN ANTONIO, TX 78268-1884
(210) 535-8610
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
61037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052284
—
TX
Enumeration date
03/05/2007
Last updated
02/18/2010
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