Individual
MRS. ALEXANDRIA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASAC-ADV
Contact information
Practice address
2 CORACI BLVD STE 15&16, SHIRLEY, NY 11967-4833
(631) 315-2320
(631) 315-9473
Mailing address
4 S WILLIAM ST, EAST PATCHOGUE, NY 11772-5916
(603) 966-8424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
35312
NY
104100000X
Social Worker
Primary
118711
NY
Other
Enumeration date
11/13/2019
Last updated
06/11/2023
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