Gonzalez, Jacob

Gonzalez, Jacob is an individual health care provider with primary practice located at 800 S Walnut St , Las Cruces NM 88001-3954. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Gonzalez, Jacob can be contacted via phone (575) 526-2819.

Contact Information

Primary practice address
800 S Walnut St Las Cruces NM 88001-3954
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1255175147
LBN Legal business name Gonzalez, Jacob
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2024
Last updated Jun 24th, 2024 - about 6 months 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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