MR. Jason Gonzalez, BA

NPI #1134853807 in Salem, Massachusetts

Provider Information

NPI Number: 1134853807
Entity Type: Individual
Name: MR. Jason Gonzalez, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Credential: BA
Enumeration Date: Jul 10, 2022
Last Updated: Jul 10, 2022

Practice Location

Address: 110 BOSTON ST
City: Salem
State: Massachusetts
ZIP Code: 01970-1402
Phone: (781) 592-5691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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