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Lisa Marie Gonzales, LCDC
Addiction (Substance Use Disorder) Counselor in San Antonio, Texas
NPI 1871143065

Lisa Marie Gonzales is an Addiction (Substance Use Disorder) Counselor based in San Antonio, TX and is specialized in Addiction (Substance Use Disorder). Lisa Marie Gonzales practices in San Antonio, TX and has the professional credentials of LCDC. The NPI Number for Lisa Marie Gonzales is 1871143065 and holds a License No. 14502 (Texas).

The current practice location address for Lisa Marie Gonzales is 3701 W Commerce St, San Antonio, TX and can be reached out via phone at 210-434-0531 and via fax at 210-434-0321.

Location: 3701 W Commerce St, San Antonio, TX, 78207-3611
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Provider Profile Details
NPI Number
1871143065
Provider Name
Lisa Marie Gonzales
Credential
LCDC
Provider Entity Type
Individual
Gender
Female
Address
3701 W Commerce St, San Antonio, TX, 78207-3611
Phone Number
210-434-0531
Fax Number
210-434-0321
Provider Enumeration Date
09/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14548732 05 TX
institution
Provider Business Practice Location Address Details
Address
3701 W Commerce St
City
State
Zip
78207-3611
Phone Number
210-434-0531
Fax Number
210-434-0321
person
Provider Business Mailing Address Details
Address
3701 W Commerce St
City
State
Zip
78207-3611
Phone Number
210-434-0531
Fax Number
210-434-0321
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
14502 (Texas)
Definition
Definition to come...
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