Gonzalez, Mary A

Gonzalez, Mary A is an individual health care provider with primary practice located at 47825 Oasis St , Indio CA 92201-6950. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gonzalez, Mary A can be contacted via phone (769) 863-8455.

Contact Information

Primary practice address
47825 Oasis St Indio CA 92201-6950
Phone: (769) 863-8455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1285751560
LBN Legal business name Gonzalez, Mary A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Dec 22nd, 2010 - about 15 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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