Individual provider · Type 1 NPI
Lori Gonzalez, LCDC
Addiction (Substance Use Disorder) Counselor · Austin, TX
NPI number
1912359456
Active
Practice location
2600 W Stassney Ln
Austin, TX 78745-3401
Fax (866) 653-5142
Mailing address
10109 Deer Chase Trl
Austin, TX 78747-2763
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 12721 (TX) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12721 (TX) |
| Counselor | 101Y00000X | 12721 (TX) |
| Professional Counselor | 101YP2500X | 76387 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1912359456
Lori Gonzalez, LCDC's National Provider Identifier is 1912359456, issued on Jul 8, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Austin, TX. The record was last updated on Nov 5, 2025.