MS. JODIE LYNN GONZALEZ LACLASAC NPI 1215534946

NPI Information

NPI: 1215534946
Provider Name: MS. JODIE LYNN GONZALEZ, LAC,LASAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
20430 W CARLA VISTA
BUCKEYE, AZ
ZIP 85326
Phone: (602) 505-3797
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MS. Jodie Lynn Gonzalez, LAC,LASAC is a professional counselor in Buckeye, AZ. MS. Jodie Lynn Gonzalez, LAC,LASAC NPI is 1215534946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20430 W CARLA VISTA
BUCKEYE, AZ
ZIP 85326-698
Phone: (602) 505-3797

The enumeration date for this NPI number is 10/6/2020 and was last updated on 10/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LISAC-155232	ARIZONA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LASAC-15240	ARIZONA	No
3	101YM0800X	Counselor	Mental Health	LAC-16287	ARIZONA	No
4	101YP2500X	Counselor	Professional	LPC-19626	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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