Individual
KRYSTYNA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
136 S MAIN ST STE 2, LAS CRUCES, NM 88001-1266
(575) 323-0033
Mailing address
2360 E LOHMAN AVE # 1139, LAS CRUCES, NM 88001-8492
(575) 323-0033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-10203
NM
104100000X
Social Worker
X-10129
NM
1041C0700X
Clinical Social Worker
Primary
12110
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41929519
—
NM
Enumeration date
06/27/2017
Last updated
03/31/2026
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