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Amanda Sue Gonzalez
Mental Health Counselor in Springfield, Oregon
NPI 1275798993

Amanda Sue Gonzalez is a Mental Health Counselor based in Springfield, OR and is specialized in Mental Health. Amanda Sue Gonzalez practices in Springfield, OR. The NPI Number for Amanda Sue Gonzalez is 1275798993 and holds a License No. (Oregon).

The current practice location address for Amanda Sue Gonzalez is 175 W B St Ste I, Springfield, OR and can be reached out via phone at 541-988-1025 and via fax at 541-844-1051.

Location: 175 W B St Ste I, Springfield, OR, 97477-0167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275798993
Provider Name
Amanda Sue Gonzalez
Credential
Provider Entity Type
Individual
Gender
Female
Address
175 W B St Ste I, Springfield, OR, 97477-0167
Phone Number
541-988-1025
Fax Number
541-844-1051
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
241382 05 OR
institution
Provider Business Practice Location Address Details
Address
175 W B St Ste I
City
Springfield
State
Oregon
Zip
97477-4575
Phone Number
541-988-1025
Fax Number
541-844-1051
person
Provider Business Mailing Address Details
Address
175 W B St Ste I
City
Springfield
State
Oregon
Zip
97477-4575
Phone Number
541-988-1025
Fax Number
541-844-1051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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