Healthcare Provider Details

I. General information

NPI: 1033837661
Provider Name (Legal Business Name): ARIEL ALEJANDRA GONZALEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2022
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 S MADISON ST STE 304
DENVER CO
80209-3014
US

IV. Provider business mailing address

155 S MADISON ST STE 304
DENVER CO
80209-3014
US

V. Phone/Fax

Practice location:
  • Phone: 866-285-2929
  • Fax:
Mailing address:
  • Phone: 303-443-8500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0023736
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: