Marisa Gonzales

NPI #1023727401 in Las Vegas, New Mexico

Provider Information

NPI Number: 1023727401
Entity Type: Individual
Name: Marisa Gonzales
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Nov 15, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 1235 8TH ST
City: Las Vegas
State: New Mexico
ZIP Code: 87701-4219
Phone: (505) 425-6788

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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