Organization
LAURA GONZALES, M.A., L.P.C., N.C.C., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA GENEVA GONZALES MA, LPC, NCC, IMH-E (OWNER/MEMBER)
(602) 327-0834
Entity
Organization
Contact information
Practice address
8715 W UNION HILLS DR, SUITE 105, PEORIA, AZ 85382-3029
(602) 717-7213
(623) 566-2062
Mailing address
34108 N 26TH AVE, PHOENIX, AZ 85085-5070
(602) 717-7213
(623) 566-2062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC13196
AZ
251S00000X
Community/Behavioral Health Agency
LPC13196
AZ
Other
Enumeration date
04/08/2009
Last updated
04/28/2010
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