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Individual

DR. JAMIELYNN GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DSW, LCSW, FSW

Contact information

Practice address
3736 EUBANK BLVD NE STE B1, ALBUQUERQUE, NM 87111-3583
(505) 382-1578
(888) 506-2110
Mailing address
3736 EUBANK BLVD NE STE B1, ALBUQUERQUE, NM 87111-3583
(505) 382-1578

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M-06869
NM
1041C0700X
Clinical Social Worker
C-07502
NM
1041C0700X
Clinical Social Worker
Primary
I-07502
NM
174400000X
Specialist
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29283396
NM
Enumeration date
09/16/2009
Last updated
09/29/2025
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