Individual
PAIGE BEACH GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 BROAD ROCK BLVD, RICHMOND, VA 23224-4812
(804) 276-6767
Mailing address
5748 ORCUTT LN, RICHMOND, VA 23224-4627
(804) 381-8566
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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