MARLENA GONZALES GABALDON


Address: 1415 N 1st St, Phoenix, AZ 85004-1604
Phone: 6026856000

MARLENA GONZALES GABALDON (NPI# 1700160462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700160462
Entity Type Individual
Full Name MARLENA GONZALES GABALDON
Credential LPC
Practice Address 1415 N 1st St
Phoenix
AZ 85004-1604
Mailing Address 3003 N Central Ave
Suite 200
Phoenix
AZ 85012-2902
Practice Telephone 6026856000
Practice Fax Number 6022656973
Mailing Telephone 6026856000
Mailing Fax Number 6022656973
Enumeration Date 2011-09-29
Last Update Date 2011-09-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
LPC-13590 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 1415 N 1ST ST
City PHOENIX
State AZ
Zip Code 85004-1604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699945261 Wendy S Kutz Social Worker 1415 N 1st St, Phoenix, AZ 85004-1604 2008-03-10
1669015343 Brittany Andrews Counselor 1415 N 1st St, Phoenix, AZ 85004-1604 2019-10-24
1245872530 Gabriela Becerra Counselor 1415 N 1st St, Phoenix, AZ 85004-1604 2019-10-08
1790267011 Psa Behavioral Health Agency Public Health or Welfare 1415 N 1st St, Phoenix, AZ 85004-1604 2018-09-04
1023472610 Imhr Epicenter Community/Behavioral Health 1415 N 1st St, Phoenix, AZ 85004-1604 2016-04-08
1891008280 Angela E Hernandez Social Worker 1415 N 1st St, Phoenix, AZ 85004-1604 2010-07-14
1124350244 Martha M Palacio Social Worker 1415 N 1st St, Phoenix, AZ 85004-1604 2010-02-01
1114254885 Alexandra O'hannon Social Worker 1415 N 1st St, Phoenix, AZ 85004-1604 2009-11-17
1215264221 Kimberly S Noll Social Worker 1415 N 1st St, Phoenix, AZ 85004-1604 2009-11-11
1548596950 Julie M Hutchens Counselor 1415 N 1st St, Phoenix, AZ 85004-1604 2009-10-20
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1093231433 Ezequiel Bautista Music Therapist 2702 N 3rd Street, Suite 1000, Phoenix, AZ 85004 2017-08-17
1841742442 Stacy Maahs Nurse Practitioner 500 N 3rd St Ste 155, Phoenix, AZ 85004 2016-10-29
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City PHOENIX
Zip Code 85004

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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