Individual
STACEY MITCHELL GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
6831 N TIVOLI PL, TUCSON, AZ 85741-2522
(480) 284-3719
Mailing address
6831 N TIVOLI PL, TUCSON, AZ 85741-2522
(480) 284-3719
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22514
AZ
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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