Individual
JERUSHA ANNE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
457 KRISTIE MICHELLE LN, CLARKSVILLE, TN 37042-7039
(270) 484-6575
Mailing address
457 KRISTIE MICHELLE LN, CLARKSVILLE, TN 37042-7039
(270) 484-6575
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2516
TN
101YM0800X
Mental Health Counselor
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Other
Enumeration date
07/07/2008
Last updated
08/20/2024
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