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Individual

BARBARA I GONZALES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
315 STATE AVE # 101, ALAMOSA, CO 81101-2637
(719) 588-6807
Mailing address
315 STATE AVE # 101, ALAMOSA, CO 81101-2637
(719) 588-6807

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
7291
CO
101YM0800X
Mental Health Counselor
Primary
CSW00991552
CO
1041C0700X
Clinical Social Worker
00991552
CO

Other

Enumeration date
07/06/2011
Last updated
04/18/2018
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