Most Relevant Information
Provider Data
| NPI Number: | 1003643917 |
| Provider Name: | BRENDA GONZALEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/16/2024 |
| Last Updated: | 09/16/2024 |
Provider Practice Location
760 N MOTEL BLVD
LAS CRUCES
NM
880074169
Practice Location Phone/Fax
| Phone: | 5754494000 |
| Fax: | 5756742902 |
Provider Mailing Location
385 CALLE DE ALEGRA STE A
LAS CRUCES
NM
880053423
Provider Mailing Phone/Fax
| Phone: | 5755261105 |
| Fax: | 5755244266 |