Individual
DIANA WEYN GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, MSW, AASW
Contact information
Practice address
13731 E RICE PL STE 200, AURORA, CO 80015-1077
(845) 729-4079
Mailing address
1926 S WILLIAMS ST, DENVER, CO 80210-3323
(845) 729-4079
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
.0000904
CO
1041C0700X
Clinical Social Worker
0001232
CO
Other
Enumeration date
01/18/2016
Last updated
07/21/2022
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