Provider Demographics
NPI:1942906771
Name:GONZALEZ CANDELA, JULIA (LPC)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:GONZALEZ CANDELA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LINBROOK RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1224
Mailing Address - Country:US
Mailing Address - Phone:860-992-9378
Mailing Address - Fax:
Practice Address - Street 1:1 LINBROOK RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1224
Practice Address - Country:US
Practice Address - Phone:860-992-9378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-02
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002808101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional