Individual provider · Type 1 NPI
Jodie Lynn Gonzalez, LPC, LISAC
Professional Counselor · Buckeye, AZ
NPI number
1215534946
Active
Practice location
20430 W Carla Vista
Buckeye, AZ 85326-4698
Mailing address
575 S 143rd Ave
Goodyear, AZ 85338-3005
Other practice locations
- 13925 W Meeker Blvd Ste 9, Sun City West, AZ 85375-4431 · (480) 780-3030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-155232 (AZ) |
| Mental Health Counselor | 101YM0800X | LPC-19626 (AZ) |
| Professional Counselor | 101YP2500X | None listed |
| Professional Counselor Primary | 101YP2500X | LPC-19626 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1215534946
Jodie Lynn Gonzalez, LPC, LISAC's National Provider Identifier is 1215534946, issued on Oct 6, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Buckeye, AZ. The record was last updated on Jul 24, 2025.