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Contact Information

JARED GONZALES
1395 MISSOURI AVE
LAS CRUCES, NM88001-5327
 Phone: 575-621-4304
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

School

103TS0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for JARED GONZALES · (Male)

NPI # 1801224332
Status Active
Credentials
Entity Individual
Enumeration date 10/18/2013
Last updated 10/13/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 313091
  • NM License # PSY1734
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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