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NPI Code Detail

MEDICARE: IRMA GONZALEZ LPC

MEDICARE: IRMA GONZALEZ LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor18089TX

General Provider Information

NPI Number : 1093825218
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRMA GONZALEZ LPC
Provider Business Mailing Address
First Line : 6040 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2043
Country : US
Telephone Number : 915-781-9900
Fax Number : 915-781-9930
Provider Business Practice Location Address
First Line : 6040 SURETY DR
Second Line :
City : EL PASO
State : TX
Zip : 79905-2043
Country : US
Telephone Number : 915-781-9900
Fax Number : 915-781-9930
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ IRMA GONZALEZ LPC” Practice Location

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