Individual provider · Type 1 NPI

Mary Alice Gonzales, LPCA

Mental Health Counselor · Winston Salem, NC

NPI number 1992052880 Active

Practice location

665 W 4th St
Winston Salem, NC 27101-2701

Fax (336) 714-3395

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA8900 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1992052880

Mary Alice Gonzales, LPCA's National Provider Identifier is 1992052880, issued on Aug 9, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winston Salem, NC. The record was last updated on May 2, 2014.