Gonzalez, Manuel Anthony Carl

Gonzalez, Manuel Anthony Carl is an individual health care provider with primary practice located at 3919 Macdonald Ave , Richmond CA 94805-2229. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Gonzalez, Manuel Anthony Carl can be contacted via phone (510) 741-7286.

Contact Information

Primary practice address
3919 Macdonald Ave Richmond CA 94805-2229
Phone: (510) 741-7286
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY 60414394 Washington

Profile Details

NPI number 1164623005
LBN Legal business name Gonzalez, Manuel Anthony Carl
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2007
Last updated Apr 5th, 2016 - about 8 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