Sandra Mary Gonzalez, LAC

NPI #1861156804 in Malvern, Arkansas

Provider Information

NPI Number: 1861156804
Entity Type: Individual
Name: Sandra Mary Gonzalez, LAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LAC
Enumeration Date: Oct 26, 2021
Last Updated: May 28, 2025

Practice Location

Address: 1628 E PAGE AVE
City: Malvern
State: Arkansas
ZIP Code: 72104-4524
Phone: (501) 315-3344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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