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NPI Code Detail

MEDICARE: ALEJANDRO GONZALES

MEDICARE: ALEJANDRO GONZALES
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1770446239
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEJANDRO GONZALES
Provider Business Mailing Address
First Line : 4839 W SPOONBILL DR
Second Line :
City : TUCSON
State : AZ
Zip : 85742-9546
Country : US
Telephone Number : 520-282-2717
Fax Number :
Provider Business Practice Location Address
First Line : 3131 N COUNTRY CLUB RD STE 100
Second Line :
City : TUCSON
State : AZ
Zip : 85716-1650
Country : US
Telephone Number : 520-229-6220
Fax Number : 520-444-3033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ ALEJANDRO GONZALES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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