Gonell, Banessa
Gonell, Banessa is an individual health care provider with primary practice located at 618 Ames Hill Dr , Tewksbury MA 01876-1165. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gonell, Banessa can be contacted via phone (978) 609-7308.Contact Information
Primary practice address
618 Ames Hill Dr
Tewksbury MA 01876-1165
Phone: (978) 609-7308
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | S85881884 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 116747 | Massachusetts |
Profile Details
| NPI number | 1407082753 |
|---|---|
| LBN Legal business name | Gonell, Banessa |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2009 |
| Last updated | Dec 6th, 2019 - about 5 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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