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NPI Code Detail

MEDICARE: MARIA DE JESUS GONZALEZ LPC, NCC

MEDICARE:   MARIA DE JESUS GONZALEZ  LPC, NCC
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 CounselorCTB-2024-0198NM

General Provider Information

NPI Number : 1760976468
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE JESUS GONZALEZ LPC, NCC
Provider Business Mailing Address
First Line : 530 N CHURCH ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3440
Country : US
Telephone Number : 575-526-9878
Fax Number :
Provider Business Practice Location Address
First Line : 530 N CHURCH ST
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3440
Country : US
Telephone Number : 575-526-9878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2018
Last Update Date : 02/19/2025

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Directions to “ MARIA DE JESUS GONZALEZ LPC, NCC” Practice Location

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