Provider Demographics
NPI:1447664669
Name:GONZALEZ, ANNA MARIA (MS, LMHC, LPC)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:MS, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 THIMBLE SHOALS BLVD STE 704
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3586
Mailing Address - Country:US
Mailing Address - Phone:757-279-8832
Mailing Address - Fax:
Practice Address - Street 1:739 THIMBLE SHOALS BLVD STE 704
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3586
Practice Address - Country:US
Practice Address - Phone:757-279-8832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health