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Individual

DANIEL GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4010 CARLISLE BLVD NE STE F, ALBUQUERQUE, NM 87107-4532
(505) 301-5297
(505) 554-3435
Mailing address
4010 CARLISLE BLVD NE STE F, ALBUQUERQUE, NM 87107-4532
(505) 301-5297

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
104100000X
Social Worker
Primary
C-11895
NM
104100000X
Social Worker
NM
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary
C-11895
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
28428862
NM
Enumeration date
01/22/2020
Last updated
03/10/2026
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