Healthcare Provider Details

I. General information

NPI: 1629980552
Provider Name (Legal Business Name): ASHLEY ROSE GONZALEZ LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1075 E FORT LOWELL RD
TUCSON AZ
85719-2114
US

IV. Provider business mailing address

1075 E FORT LOWELL RD
TUCSON AZ
85719-2114
US

V. Phone/Fax

Practice location:
  • Phone: 520-327-4505
  • Fax: 520-202-1703
Mailing address:
  • Phone: 520-327-4505
  • Fax: 520-202-1703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLAMFT-11028
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: