person
Luz Amalya Gonzalez, CSAC,RESIDENTINCO
Addiction (Substance Use Disorder) Counselor in Fredericksburg, Virginia
NPI 1659804797

Luz Amalya Gonzalez is an Addiction (Substance Use Disorder) Counselor based in Fredericksburg, VA and is specialized in Addiction (Substance Use Disorder). Luz Amalya Gonzalez practices in Fredericksburg, VA and has the professional credentials of CSAC,RESIDENTINCO. The NPI Number for Luz Amalya Gonzalez is 1659804797 and holds a License No. 0710102137 (Virginia).

The current practice location address for Luz Amalya Gonzalez is 120 Falcon Dr, Fredericksburg, VA and can be reached out via phone at 540-479-2064. You can also correspond with Luz Amalya Gonzalez through the mailing address at PO BOX 42178, FREDERICKSBURG, VA - 22404-2178 (mailing address contact number: 540-479-2064).

Location: 120 Falcon Dr, Fredericksburg, VA, 22404-2178
person
Provider Profile Details
NPI Number
1659804797
Provider Name
Luz Amalya Gonzalez
Credential
CSAC,RESIDENTINCO
Provider Entity Type
Individual
Gender
Female
Address
120 Falcon Dr, Fredericksburg, VA, 22404-2178
Phone Number
540-479-2064
Fax Number
Provider Enumeration Date
04/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DON'T HAVE 05 VA
DON'T HAVE NEW 01 VA MAGELLAN NETWORK PROVIDER
institution
Provider Business Practice Location Address Details
Address
120 Falcon Dr
City
State
Zip
22408-1900
Phone Number
540-479-2064
Fax Number
person
Provider Business Mailing Address Details
Address
120 Falcon Dr
City
State
Zip
22408-1900
Phone Number
540-479-2064
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0710102137 (Virginia)
Definition
Definition to come...
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