Provider Demographics
NPI:1114143518
Name:GONZALEZ, ANA CRISTINA (CRC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANA
Middle Name:CRISTINA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:CRC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 BRIGHTON 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6415
Mailing Address - Country:US
Mailing Address - Phone:718-496-9896
Mailing Address - Fax:
Practice Address - Street 1:3050 BRIGHTON 7TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-6415
Practice Address - Country:US
Practice Address - Phone:718-496-9896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001193101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health