Individual
GABRIELA GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
76 AMORY ST, ROXBURY, MA 02119-1012
(617) 652-9031
Mailing address
20 VINING ST, BOSTON, MA 02115-6115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
PSY10001295
MA
Other
Enumeration date
09/03/2019
Last updated
03/30/2026
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