Individual
LISA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LCDP
Contact information
Practice address
501 W 14TH ST, WILMINGTON, DE 19801-1013
(302) 428-2987
(302) 428-2984
Mailing address
205 W 14TH ST, WILMINGTON, DE 19801-1114
(302) 320-2100
(302) 320-2121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00046700
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00160100
NJ
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CD-0000078
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077313
—
NJ
Enumeration date
03/13/2007
Last updated
03/08/2016
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