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General NPI Number Information
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NPI Number | 1215637400
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Entity Type | Individual
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Provider Name | MELENI D GONZALES LPC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 1626 N LITCHFIELD RD STE 220
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City | GOODYEAR
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State | AZ
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Zip | 85395-1332
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Country | US
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Telephone | 602-689-2306
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 N DYSART RD STE 202-465
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-3032
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Country | US
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Telephone | 602-689-2306
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC-21546
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License Number State | AZ
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