person
Ms. Jodie Lynn Gonzalez, LAC,LASAC
Professional Counselor in Buckeye, Arizona
NPI 1215534946

Jodie Lynn Gonzalez is a Professional Counselor based in Buckeye, AZ and is specialized in Professional. Jodie Lynn Gonzalez practices in Buckeye, AZ and has the professional credentials of LAC,LASAC. The NPI Number for Jodie Lynn Gonzalez is 1215534946 and holds a License No. LISAC-155232 (Arizona).

The current practice location address for Jodie Lynn Gonzalez is 20430 W Carla Vista, Buckeye, AZ and can be reached out via phone at 602-505-3797.

Location: 20430 W Carla Vista, Buckeye, AZ, 85326-4698
person
Provider Profile Details
NPI Number
1215534946
Provider Name
Jodie Lynn Gonzalez
Credential
LAC,LASAC
Provider Entity Type
Individual
Gender
Female
Address
20430 W Carla Vista, Buckeye, AZ, 85326-4698
Phone Number
602-505-3797
Fax Number
Provider Enumeration Date
10/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20430 W Carla Vista
City
State
Zip
85326-4698
Phone Number
602-505-3797
Fax Number
person
Provider Business Mailing Address Details
Address
20430 W Carla Vista
City
State
Zip
85326-4698
Phone Number
602-505-3797
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LAC-16287 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LASAC-15240 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LISAC-155232 (Arizona)
Definition
Definition to come...
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