Gonsalves, Brian

Gonsalves, Brian is an sole proprietor health care provider with primary practice located at 248 High St , Randolph MA 02368-1837. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gonsalves, Brian can be contacted via phone (617) 407-4454.

Contact Information

Primary practice address
248 High St Randolph MA 02368-1837
Phone: (617) 407-4454
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 115082 Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X 115082 Massachusetts
Behavioral Health & Social Service Providers / School 101YS0200X
Behavioral Health & Social Service Providers / Social Worker 104100000X 115082 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 115082 Massachusetts

Profile Details

NPI number 1346863693
LBN Legal business name Gonsalves, Brian
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2020
Last updated Jun 5th, 2020 - 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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