Organization
JARED J. GONZALES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED GONZALES PH. D. (PSYCHOLOGIST)
(575) 621-4304
Entity
Organization
Contact information
Practice address
1395 MISSOURI AVE, LAS CRUCES, NM 88001-5327
(575) 522-5466
Mailing address
4672 MESITA ST, LAS CRUCES, NM 88012-6329
(575) 621-4304
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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