Provider Demographics
NPI:1134739717
Name:LOZADA GONZALEZ, CRISTINA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:CRISTINA
Middle Name:MARIE
Last Name:LOZADA GONZALEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 37183
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-9711
Mailing Address - Country:US
Mailing Address - Phone:787-586-9075
Mailing Address - Fax:
Practice Address - Street 1:CARR.1 EDIFICIO CAMAYD 155
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-0072
Practice Address - Country:US
Practice Address - Phone:787-586-9075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1370101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional