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Individual

VERONICA GONZALEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
320 MCCOMBS RD STE C, CHAPARRAL, NM 88081-7937
(575) 882-5100
(575) 882-1151
Mailing address
PO BOX 2671, ANTHONY, NM 88021-2671
(575) 882-5100

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-0193331
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35650338
NM
Enumeration date
12/22/2017
Last updated
12/22/2017
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