person
Ismael Gonzalez, BA
Mental Health Counselor in Worcester, Massachusetts
NPI 1922418284

Ismael Gonzalez is a Mental Health Counselor based in Worcester, MA and is specialized in Mental Health. Ismael Gonzalez practices in Worcester, MA and has the professional credentials of BA. The NPI Number for Ismael Gonzalez is 1922418284 and holds a License No. (Massachusetts).

The current practice location address for Ismael Gonzalez is 11 Sycamore St, Worcester, MA and can be reached out via phone at 508-798-1900 and via fax at 508-798-1908.

Location: 11 Sycamore St, Worcester, MA, 01608-2213
person
Provider Profile Details
NPI Number
1922418284
Provider Name
Ismael Gonzalez
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
11 Sycamore St, Worcester, MA, 01608-2213
Phone Number
508-798-1900
Fax Number
508-798-1908
Provider Enumeration Date
05/07/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042714991 01 MA CENTRON LAS AMERICAS, INC.
institution
Provider Business Practice Location Address Details
Address
11 Sycamore St
City
State
Zip
01608-2213
Phone Number
508-798-1900
Fax Number
508-798-1908
person
Provider Business Mailing Address Details
Address
11 Sycamore St
City
State
Zip
01608-2213
Phone Number
508-798-1900
Fax Number
508-798-1908
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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