Individual provider · Type 1 NPI

Susana Gonzalez, LPC; ACD

Mental Health Counselor · Fort Lupton, CO

NPI number 1366801227 Active

Practice location

1115 2nd St
Fort Lupton, CO 80621-1745

Call (303) 697-2583 Map

Mailing address

203 S Rollie Ave
Fort Lupton, CO 80621-1508

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0000355 (CO)
Mental Health Counselor Primary 101YM0800X0005052 (CO)

Mental Health Counselor: Definition to come...

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About NPI 1366801227

Susana Gonzalez, LPC; ACD's National Provider Identifier is 1366801227, issued on Feb 19, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Lupton, CO. The record was last updated on Jan 10, 2017.