Individual provider · Type 1 NPI
Lizza Casanova Gonzales, LCPC
Professional Counselor · Baltimore, MD
NPI number
1104239912
Active
Practice location
5209 York Road, Suite B12
Baltimore, MD 21212-4245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LC5058 (MD) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1104239912
Lizza Casanova Gonzales, LCPC's National Provider Identifier is 1104239912, issued on Jun 9, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Aug 12, 2014.