Individual
CARLY ALICE GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 COMMERCIAL BLVD, TORRINGTON, CT 06790-3098
(860) 482-8796
Mailing address
335 BROAD ST, MANCHESTER, CT 06040-4036
(860) 643-3210
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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