| Doctor Name: | MRS. EDNA ELIZABETH GONZALES-ANZALDUA |
| NPI Number: | 1023186053 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW,LADAC |
| License Number: | 0118251 |
| Business Practice Address: | 818 S Mccurdy Rd Espanola, NM - 875329646 |
| Business Phone Number: | 5057477223 |
| Business Fax Number: | |
| Mailing Address: | Po Box 109, HERNANDEZ |
| State: | NM |
| Postal Code: | 875370109 |
| Phone Number: | 5057477223 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 07/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 0118251 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |