Individual
KASSANDRA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3301 CANDELARIA RD NE STE B, ALBUQUERQUE, NM 87107-1965
(505) 273-6300
Mailing address
3301 CANDELARIA RD NE STE B, ALBUQUERQUE, NM 87107-1965
(505) 273-6300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
T-CTL0194761
NM
Other
Enumeration date
09/13/2016
Last updated
02/15/2018
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