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Individual

ALEXIA GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A, LPC

Contact information

Practice address
207 SULPHUR SPRINGS RD, BRYAN, TX 77801-3134
(281) 846-4454
Mailing address
207 SULPHUR SPRINGS RD, BRYAN, TX 77801-3134
(281) 846-4454

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88892
TX
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
373188702
TX
Enumeration date
03/21/2020
Last updated
01/17/2025
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