Provider Demographics
NPI:1861866394
Name:GONZALEZ, ASIA (LPC)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:
Last Name:GONZALEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:ASIA
Other - Middle Name:
Other - Last Name:PULSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-3933
Mailing Address - Country:US
Mailing Address - Phone:203-530-3378
Mailing Address - Fax:
Practice Address - Street 1:1 EVERGREEN AVE
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-2717
Practice Address - Country:US
Practice Address - Phone:203-530-3378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-20
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health