Gonzales, Janice C
Gonzales, Janice C is an sole proprietor health care provider with primary practice located at 805 Desert Flower Blvd , Pueblo CO 81001-1146. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gonzales, Janice C can be contacted via phone (719) 540-2183.Contact Information
Primary practice address
805 Desert Flower Blvd
Pueblo CO 81001-1146
Phone: (719) 540-2183
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 0004196 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY4196 | Colorado |
Profile Details
| NPI number | 1215567425 |
|---|---|
| LBN Legal business name | Gonzales, Janice C |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2020 |
| Last updated | Aug 18th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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