Individual
WILLIAM GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 MAIN ST, STAMFORD, CT 06901-2818
(203) 391-7935
Mailing address
119 MAIN ST, STAMFORD, CT 06901-2818
(203) 391-7935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000126
CT
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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