Individual
EMILLY MERARY GONZALEZ SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 MOOSE ST, JOHNSTOWN, CO 80534-8705
(970) 237-1656
Mailing address
4539 MOOSE ST, JOHNSTOWN, CO 80534-8705
(970) 237-1656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CO
103TF0000X
Family Psychologist
Primary
—
CO
103TS0200X
School Psychologist
—
CO
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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