Luz Marina Gonzalez-Ang | Medford, MA • PECOS Search

Luz Marina Gonzalez-Ang

Counselor

Behavioral Health & Social Service Providers

425 High St Ste 3, Medford, MA 02155-3673

PECOS Enrollment

Based on the most recent information from CMS, provider Luz Marina Gonzalez-Ang does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1649950270
Provider Type
Individual
Full Name
Gonzalez-Ang, Luz Marina
Title
Ms.
Credential
LMHC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/19/2023
Last Updated
7/19/2023

Contact Information

Practice Location

425 High St Ste 3, Medford, MA 02155-3673

Unlisted Fax

Mailing Location

452 High St Ste 3, Medford, MA 02155-3634

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 10081 Massachusetts