Individual
ELAINE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3400
Mailing address
720 N SAINT ASAPH ST, ALEXANDRIA, VA 22314-1912
(703) 746-3400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704009665
VA
Other
Enumeration date
07/24/2020
Last updated
12/16/2021
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