Individual provider · Type 1 NPI

Lisa Marie Gonzales, LCDC

Addiction (Substance Use Disorder) Counselor · San Antonio, TX

NPI number 1871143065 Active

Practice location

3701 W Commerce St
San Antonio, TX 78207-3611

Fax (210) 434-0321

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14502 (TX)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871143065

Lisa Marie Gonzales, LCDC's National Provider Identifier is 1871143065, issued on Sep 19, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Antonio, TX. The record was last updated on Sep 19, 2019.