Individual
BENITO GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RADT I
Contact information
Practice address
1301 YOSEMITE PKWY, MERCED, CA 95340-5203
(209) 722-6335
(209) 722-6371
Mailing address
2852 CENTER ST, STEVINSON, CA 95374-9795
(209) 226-5765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1560460524
CA
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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