Individual
MR. RAUL K GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
11920 DAHLIA AVE SE, ALBUQUERQUE, NM 87123-2470
(269) 325-7275
Mailing address
11920 DAHLIA AVE SE, ALBUQUERQUE, NM 87123-2470
(269) 325-7275
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CCMH0200211
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37357841
—
NM
Enumeration date
07/11/2013
Last updated
03/23/2024
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