Individual
LORI GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2600 W STASSNEY LN, AUSTIN, TX 78745-3401
(512) 729-8522
(866) 653-5142
Mailing address
10109 DEER CHASE TRL, AUSTIN, TX 78747-2763
(512) 767-8042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12721
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12721
TX
101YM0800X
Mental Health Counselor
12721
TX
101YP2500X
Professional Counselor
76387
TX
Other
Enumeration date
07/08/2016
Last updated
11/05/2025
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