Individual
ALBERTO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602-5438
(315) 772-1015
Mailing address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-1074
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
099658
NY
1041C0700X
Clinical Social Worker
Primary
093244
NY
Other
Enumeration date
02/22/2017
Last updated
04/13/2026
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