Gonzales, Michael

Gonzales, Michael is an sole proprietor health care provider with primary practice located at 65 South St Fl 2 , Freehold NJ 07728-2348. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gonzales, Michael can be contacted via phone (732) 546-2453.

Contact Information

Primary practice address
65 South St Fl 2 Freehold NJ 07728-2348
Phone: (732) 546-2453
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00285800 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC06095300 New Jersey

Profile Details

NPI number 1639645195
LBN Legal business name Gonzales, Michael
Credentials LCSW, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2018
Last updated Nov 10th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639645195 NPPES
New Jersey Other 37LC00285800 LCADC

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