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Angela Dawn Gonzales, CSW

Peer Specialist in Bernalillo, NM. Individual provider (NPI-1).

NPI number1467006551
StatusActive
Last updated in NPPESJul 28, 2019

Details

NPI
1467006551
Entity type
Individual (NPI-1)
Name
Angela Dawn Gonzales
Credential
CSW
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2019
Last updated
Jul 28, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

301 S Camino Del Pueblo
Bernalillo, NM 87004-6276

Phone 505-837-2383

Mailing address

300 Armijo Ln
Bernalillo, NM 87004-8038

Phone 505-923-0273

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