Individual
ANTHONY VICTOR GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHC-LP
Contact information
Practice address
21 GRAND ST, NEWBURGH, NY 12550-5628
(845) 562-7244
Mailing address
7 COTTAGE ST, WARWICK, NY 10990-1201
(845) 866-1495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P123908
NY
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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