Individual
SARAH NICOLE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3190 ROCHESTER RD STE 105, TROY, MI 48083-5464
(248) 961-6124
Mailing address
5519 AVINGTON PKWY, CLARKSTON, MI 48348-3756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451022404
MI
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/14/2022
Last updated
12/06/2022
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