Whalio Doctors

NPI 1023186053

Edna Elizabeth Gonzales-Anzaldua, LISWLADAC

Practitioner Clinical Social Worker Espanola, NM

Practice location

Address
818 S McCurdy Rd, Espanola, NM 87532-9646
Phone
(505) 747-7223
Mailing address
PO Box 109, Hernandez, NM 87537-0109

Registered specialties (2)

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence I-08202 (NM)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 0118251 (NM)

Registry record

NPI
1023186053
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Nov 2006
Record last updated
19 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.