Individual
JOHN M GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
567 VAUXHALL STREET EXT. SUITE 207, WATERFORD, CT 06385
(860) 245-1565
Mailing address
535 COLONEL LEDYARD HWY, LEDYARD, CT 06339-1611
(860) 245-1565
(860) 245-5565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
03/08/2022
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