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Individual

LISA Y GOMEZ

Active
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Individual

LISA Y GOMEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LPCC

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0186661
NM
101YM0800X
Mental Health Counselor
88489
TX
101YM0800X
Mental Health Counselor
Primary
CCMH0208411
NM
171W00000X
Contractor
T-0176781
NM

Other

Enumeration date
12/02/2015
Last updated
02/26/2026
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