ESTEFANI GONZALEZ MA LAC NPI 1275012619

NPI Information

NPI: 1275012619
Provider Name: ESTEFANI GONZALEZ, MA, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
3895 GEORGE ANDERSON RD
SPRINGDALE, AR
ZIP 72764
Phone: (479) 521-1532
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Estefani Gonzalez, MA, LAC is a professional counselor in Springdale, AR. Estefani Gonzalez, MA, LAC NPI is 1275012619. 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:

3895 GEORGE ANDERSON RD
SPRINGDALE, AR
ZIP 72764-251
Phone: (479) 521-1532

The enumeration date for this NPI number is 8/7/2018 and was last updated on 9/8/2021.

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	171M00000X	Case Manager/Care Coordinator				No
2	101YP2500X	Counselor	Professional	A2108015	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	228307795	MEDICAID	ARKANSAS

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: 11/14/2023

NPI Synchronization or Removal

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