Gonzales, Lucia

Gonzales, Lucia is an individual health care provider with primary practice located at 419 E 7Th St Ste 207 , The Dalles OR 97058-2676. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gonzales, Lucia can be contacted via phone (541) 296-5452.

Contact Information

Primary practice address
419 E 7Th St Ste 207 The Dalles OR 97058-2676
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X C2110 Oregon

Profile Details

NPI number 1205156452
LBN Legal business name Gonzales, Lucia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Jun 9th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205156452 NPPES
Oregon MEDICAID 139670

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