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Individual

ALBERT GONZALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC / LAC

Contact information

Practice address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101
(719) 589-3671
Mailing address
8745 COUNTY ROAD 9 S, ALAMOSA, CO 81101-9610

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
LPC.0014625
CO

Other

Enumeration date
01/03/2017
Last updated
05/17/2018
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