Individual
EDICA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
828 HEALTHY WAY STE 105, VIRGINIA BEACH, VA 23462-7958
(757) 965-8686
Mailing address
941 DUCK POND DR APT 107, VIRGINIA BEACH, VA 23464-3318
(760) 917-5671
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
0904014814
VA
Other
Enumeration date
05/18/2021
Last updated
08/16/2023
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