Individual
ELIZABETH GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2102 PECOS ST STE 10, SAN ANGELO, TX 76901-3061
(325) 947-1627
Mailing address
2102 PECOS ST STE 10, SAN ANGELO, TX 76901-3061
(325) 947-1627
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72404
TX
101YP2500X
Professional Counselor
72404
TX
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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