Gonzalez, Edward

Gonzalez, Edward is an sole proprietor health care provider with primary practice located at 627 Main St , Manchester CT 06040-5181. 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. Gonzalez, Edward can be contacted via phone (860) 324-0042.

Contact Information

Primary practice address
627 Main St Manchester CT 06040-5181
Phone: (860) 324-0042
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1090 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 010279 Connecticut

Profile Details

NPI number 1346654399
LBN Legal business name Gonzalez, Edward
Credentials LCSW & LDAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2014
Last updated May 12th, 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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