Gonzalez, William
Gonzalez, William is an sole proprietor health care provider with primary practice located at 1100 E Deuce Of Clubs Ste B , Show Low AZ 85901-4943. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gonzalez, William can be contacted via phone (951) 834-3406.Contact Information
Primary practice address
1100 E Deuce Of Clubs Ste B
Show Low AZ 85901-4943
Phone: (951) 834-3406
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 18312 | Arizona |
Profile Details
| NPI number | 1285815464 |
|---|---|
| LBN Legal business name | Gonzalez, William |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Aug 18th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285815464 | NPPES |
| Arizona | MEDICAID | 18312 |
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