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NPI Code Detail

MEDICARE: WILFREDO GONZALEZ

MEDICARE: WILFREDO GONZALEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1144170317
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILFREDO GONZALEZ
Provider Business Mailing Address
First Line : 80 COMMERCIAL ST
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-4704
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 80 COMMERCIAL ST
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-4704
Country : US
Telephone Number : 413-574-0144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ WILFREDO GONZALEZ ” Practice Location

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