| Eugene Gonzales, | |
|
105 N 5th Ave, Holbrook, AZ 86025-2817 | |
| (928) 524-6126 | |
| (928) 524-6090 |
| Full Name | Eugene Gonzales |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 105 N 5th Ave, Holbrook, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811035751 | NPI | - | NPPES |
| 167332 | Other | AZ | AHCCCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-1244 (Arizona) | Primary |
| 174400000X | Specialist | 256 (Arizona) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene Gonzales, Po Box 972, Holbrook, AZ 86025-0972 Ph: (928) 524-2728 | Eugene Gonzales, 105 N 5th Ave, Holbrook, AZ 86025-2817 Ph: (928) 524-6126 |
Shelly Rae Ehmann, MC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 105 N 5th Ave, Holbrook, AZ 86025 Phone: 928-524-6126 | |
Nathan Velez, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 N 5th Ave, Holbrook, AZ 86025 Phone: 928-524-6126 Fax: 928-524-6090 | |
Gretchen Elizabeth Herndon, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 N 1st Ave, Holbrook, AZ 86025 Phone: 928-524-6126 Fax: 928-524-6090 | |
Mr. Randolph Scott Hollingsworth, LPC/:ISAC Counselor Medicare: Medicare Enrolled Practice Location: 1305 Spurlock Ave, Holbrook, AZ 86025 Phone: 520-249-8428 | |
Ms. Cindy L Percy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 455 N 8th Ave, Holbrook High School, Holbrook, AZ 86025 Phone: 928-524-2815 Fax: 928-524-3537 |