Individual provider · Type 1 NPI

Odalis Janet Panza Gonzales, LMHC

Mental Health Counselor · Queensbury, NY

NPI number 1386513158 Active

Practice location

25 Willowbrook Rd
Queensbury, NY 12804-5882

Mailing address

22 US Oval Ste 218
Plattsburgh, NY 12903-5902

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP139277 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1386513158

Odalis Janet Panza Gonzales, LMHC's National Provider Identifier is 1386513158, issued on Oct 31, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Queensbury, NY. The record was last updated on Oct 31, 2025.