Individual
LISBETTE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 ALEXANDER AVE, RIDGEFIELD, NJ 07657-1502
(201) 927-6453
Mailing address
1024 ALEXANDER AVE, RIDGEFIELD, NJ 07657-1502
(201) 927-6453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00349800
NJ
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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