Individual provider · Type 1 NPI

Sandra Mary Gonzalez, LAC

Counselor · Malvern, AR

NPI number 1861156804 Active

Practice location

1628 E Page Ave
Malvern, AR 72104-4524

Call (501) 315-3344 Map

Mailing address

PO Box 1589
Benton, AR 72018-1589

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XA2409006 (AR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1861156804

Sandra Mary Gonzalez, LAC's National Provider Identifier is 1861156804, issued on Oct 26, 2021. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Malvern, AR. The record was last updated on May 28, 2025.