Gonzales, James L

Gonzales, James L is an sole proprietor health care provider with primary practice located at 5435 Sugarloaf Pkwy Suite 1103, Lawrenceville GA 30043-7831. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Gonzales, James L can be contacted via phone (770) 995-6026.

Contact Information

Primary practice address
5435 Sugarloaf Pkwy Suite 1103 Lawrenceville GA 30043-7831
Phone: (770) 995-6026
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 1640 Georgia

Profile Details

NPI number 1871607705
LBN Legal business name Gonzales, James L
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871607705 NPPES
Georgia Other P00264939 RAILROAD
Georgia MEDICAID 00817275A RAILROAD
Georgia Other 027535 RAILROAD

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