Individual
DEREK RAY GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
21397 W TERRI LEE DR, BUCKEYE, AZ 85396-2457
(623) 734-2224
Mailing address
21397 W TERRI LEE DR, BUCKEYE, AZ 85396-2457
(623) 734-2224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-20081
AZ
Other
Enumeration date
07/21/2021
Last updated
09/10/2021
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