Individual
DEBORAH GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
14143 ROBERT PARIS CT, CHANTILLY, VA 20151-4201
(703) 895-8598
Mailing address
14509 AKKER CT, GAINESVILLE, VA 20155-1342
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008358
VA
Other
Enumeration date
06/02/2019
Last updated
06/02/2019
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