Individual
MRS. CHANDA LISE GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISAC, LPC
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
LISAC-15077
AZ
101YP2500X
Professional Counselor
Primary
LPC-17147
AZ
Other
Enumeration date
09/04/2010
Last updated
12/20/2021
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