Lisa Gonzalez in Wilmington - Addiction (substance Use Disorder)

Lisa Gonzalez - NPI 1346373206

Lisa Gonzalez is a Addiction (substance Use Disorder) in Wilmington, Delaware. Lisa Gonzalez practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Lisa Gonzalez is 1346373206. The last update date is 2016-03-08.

Lisa Gonzalez's current location address is 501 W 14th St, Wilmington, Delaware. You can contact this provider via phone number 3024282987 and fax number 3024282984. The mailing address for Lisa Gonzalez is 501 W 14th St, Wilmington, Delaware. To know further, please read the information below!

Provider Profile Detail

Provider Name Lisa Gonzalez
Address 501 W 14th St, Wilmington, Delaware
Phone Number 3024282987
Fax Number 3024282984
Sole Proprietor N
Credentials MS, LCDP

NPI Number Detail

NPI Number 1346373206
Provider Enumeration Date 2007-03-13
Last Updated Date 2016-03-08

Provider Mailing Address Detail

Address 501 W 14th St
City Wilmington
State Delaware (DE)
Post Code 198011013
Phone Number 3024282987
Fax Number 3024282984

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 37LC00160100
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
77313 NJ --

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FAQs about Lisa Gonzalez

What is the Lisa Gonzalez's unique identification number?

The Lisa Gonzalez has been assigned the NPI (National Provider Identifier) Number 1346373206 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Lisa Gonzalez is located?

The Lisa Gonzalez is situated at the following address: 501 W 14Th St, Wilmington, DE, 198011013.

What is the Lisa Gonzalez's specialty and taxonomy code?

The Lisa Gonzalez's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1346373206 to Lisa Gonzalez?

The Centers for Medicare & Medicaid Services assigned the 1346373206 to Lisa Gonzalez on 2007-03-13.

When was the information regarding Lisa Gonzalez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Lisa Gonzalez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-03-08.

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