Gonzales, Regina J

Gonzales, Regina J is an individual health care provider with primary practice located at 1000 E. Aztec Avenue Educational Developmental Center, Gallup NM 87301. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Gonzales, Regina J can be contacted via phone (505) 721-1819.

Contact Information

Primary practice address
1000 E. Aztec Avenue Educational Developmental Center Gallup NM 87301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X B-05609 New Mexico

Profile Details

NPI number 1558499566
LBN Legal business name Gonzales, Regina J
Credentials LBSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
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.

Request for update

Popular Providers