MEDICARE: ANDREW EDDIE GONZALES 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
1	101YP2500X	Professional Counselor	LPC.0018632	CO
2	101YM0800X	Mental Health Counselor	LPC.0018632	CO

General Provider Information

NPI Number	:	1295078020
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW EDDIE GONZALES LPC

Provider Business Mailing Address
First Line	:	8015 W ALAMEDA AVE STE G50
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3041
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 W ALAMEDA AVE STE G50
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3041
Country	:	US
Telephone Number	:	970-310-3406
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2013
Last Update Date	:	02/04/2026

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