Gonzales, Lisa Gail

Gonzales, Lisa Gail is an individual health care provider with primary practice located at 202 Central Ave Se , Albuquerque NM 87102-3460. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gonzales, Lisa Gail can be contacted via phone (505) 268-1124.

Contact Information

Primary practice address
202 Central Ave Se Albuquerque NM 87102-3460
Phone: (505) 268-1124
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X T-0134721 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0138111 New Mexico

Profile Details

NPI number 1679893275
LBN Legal business name Gonzales, Lisa Gail
Credentials MA, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2010
Last updated Jul 7th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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