Gonzales, Jared
Gonzales, Jared is an individual health care provider with primary practice located at 1395 Missouri Ave , Las Cruces NM 88001-5327. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gonzales, Jared can be contacted via phone (575) 621-4304.Contact Information
Primary practice address
1395 Missouri Ave
Las Cruces NM 88001-5327
Phone: (575) 621-4304
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 313091 | New Mexico |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY1734 | New Mexico |
Profile Details
| NPI number | 1801224332 |
|---|---|
| LBN Legal business name | Gonzales, Jared |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2013 |
| Last updated | Oct 13th, 2022 - about 2 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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