Organization
EVOLUTION RECOVERY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDA L GONZALES LPC, LISAC, NCC (OWNER, THERAPIST)
(602) 570-9964
Entity
Organization
Contact information
Practice address
16042 N 32ND ST STE B-13, PHOENIX, AZ 85032-3806
(480) 630-4067
(480) 304-3121
Mailing address
16042 N 32ND ST STE B-13, PHOENIX, AZ 85032-3806
(480) 630-4067
(480) 304-3121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/13/2018
Last updated
12/17/2021
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