Individual
NIEVES DEL CARMEN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
9801 VALLEY GROVE DR, SUITE D, LOLO, MT 59847-8617
(406) 273-4633
(406) 273-4707
Mailing address
PO BOX 812, FLORENCE, MT 59833-0812
(406) 361-0444
(406) 273-4707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15791
MT
101YP2500X
Professional Counselor
1640
WY
101YP2500X
Professional Counselor
Primary
BBH-LCPC-LIC-15791
MT
Other
Enumeration date
02/23/2016
Last updated
10/09/2018
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