Individual
MRS. PATRICIA V GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2205 S MAIN ST, LAS CRUCES, NM 88005-3113
(575) 386-4184
Mailing address
PO BOX 28220, SANTA FE, NM 87592-8220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M-06299
NM
104100000X
Social Worker
Primary
M-06299
NM
Other
Enumeration date
09/16/2009
Last updated
05/30/2013
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