Gonzalez, Erica

Gonzalez, Erica is an individual health care provider with primary practice located at 2250 S Woodworth Loop Ste 202 , Palmer AK 99645-7457. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Gonzalez, Erica can be contacted via phone (907) 761-5800.

Contact Information

Primary practice address
2250 S Woodworth Loop Ste 202 Palmer AK 99645-7457
Phone: (907) 761-5800
Fax: (907) 761-5801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 18079-130 Wisconsin
Behavioral Health & Social Service Providers / Professional 101YP2500X 166634 Alaska

Profile Details

NPI number 1033636071
LBN Legal business name Gonzalez, Erica
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2017
Last updated Aug 30th, 2022 - about 3 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 1033636071 NPPES
Wisconsin MEDICAID 1003150004

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