Individual provider · Type 1 NPI
Chanda Lise Gonzales, LISAC, LPC
Professional Counselor · Phoenix, AZ
NPI number
1831406388
Active
Practice location
16042 N 32nd St Ste B-13
Phoenix, AZ 85032-3806
Fax (480) 304-3121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC-15077 (AZ) |
| Professional Counselor Primary | 101YP2500X | LPC-17147 (AZ) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1831406388
Chanda Lise Gonzales, LISAC, LPC's National Provider Identifier is 1831406388, issued on Sep 4, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 20, 2021.