Individual
NATASHA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7020 BIRCHETT DR, PRINCE GEORGE, VA 23875-1743
(804) 514-5290
Mailing address
7020 BIRCHETT DR, PRINCE GEORGE, VA 23875-1743
(804) 514-5290
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010153
VA
101YM0800X
Mental Health Counselor
—
VA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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