Provider Demographics
NPI:1710127832
Name:GONZALEZ, MARIA ALICIA II (MA LPC)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:ALICIA
Last Name:GONZALEZ
Suffix:II
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 LITTLE DEER XING
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-1810
Mailing Address - Country:US
Mailing Address - Phone:512-913-3287
Mailing Address - Fax:
Practice Address - Street 1:8100 LITTLE DEER XING
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78736-1810
Practice Address - Country:US
Practice Address - Phone:512-913-3287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62967101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional