Gonzalez, Luz Amalya
Gonzalez, Luz Amalya is an sole proprietor health care provider with primary practice located at 120 Falcon Dr Suite 6, Fredericksburg VA 22408-1900. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Gonzalez, Luz Amalya can be contacted via phone (540) 479-2064.Contact Information
Primary practice address
120 Falcon Dr Suite 6
Fredericksburg VA 22408-1900
Phone: (540) 479-2064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0710102137 | Virginia |
Profile Details
| NPI number | 1659804797 |
|---|---|
| LBN Legal business name | Gonzalez, Luz Amalya |
| Credentials | CSAC, RESIDENT IN CO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2017 |
| Last updated | Apr 5th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659804797 | NPPES |
| Virginia | MEDICAID | DON'T HAVE | |
| Virginia | Other | DON'T HAVE NEW |
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