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Individual
MR. MANUEL O. GOMEZ
Active
Individual
MR. MANUEL O. GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS., LMH,MCAP, CCM,
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ABC010814-215
FL
101YM0800X
Mental Health Counselor
Primary
11142
FL
101YP2500X
Professional Counselor
6158
FL
171M00000X
Case Manager/Care Coordinator
131096
FL
171M00000X
Case Manager/Care Coordinator
689259179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689259179
—
FL
Enumeration date
04/02/2009
Last updated
09/27/2018
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