Individual
MICHELLE A GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 GREGORY AVE STE 202, PASSAIC, NJ 07055-4856
(973) 928-7244
Mailing address
202 W DEWEY AVE, WHARTON, NJ 07885-1655
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00979300
NJ
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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