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Mr. Johnny Manuel Gonzalez
Counselor in Southbridge, Massachusetts
NPI 1952648776

Johnny Manuel Gonzalez is a Counselor based in Southbridge, MA. Johnny Manuel Gonzalez practices in Southbridge, MA. The NPI Number for Johnny Manuel Gonzalez is 1952648776 and holds a License No. (Massachusetts).

The current practice location address for Johnny Manuel Gonzalez is 328 Main St, Southbridge, MA and can be reached out via phone at 508-765-9101.

Location: 328 Main St, Southbridge, MA, 01550-3794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952648776
Provider Name
Johnny Manuel Gonzalez
Credential
Provider Entity Type
Individual
Gender
Male
Address
328 Main St, Southbridge, MA, 01550-3794
Phone Number
508-765-9101
Fax Number
Provider Enumeration Date
01/14/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
328 Main St
City
Southbridge
State
Massachusetts
Zip
01550-3794
Phone Number
508-765-9101
Fax Number
person
Provider Business Mailing Address Details
Address
328 Main St
City
Southbridge
State
Massachusetts
Zip
01550-3794
Phone Number
508-765-9101
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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