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Organization

JOSE M GOMEZ MA LPC CAADC CCS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE M GOMEZ (OWNER)
(248) 470-8918
Entity
Organization

Contact information

Practice address
30521 SCHOENHERR RD # 200A, WARREN, MI 48088-3161
(248) 470-8918
Mailing address
14231 NADINE ST, OAK PARK, MI 48237-6932
(248) 470-8918

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
12/06/2021
Last updated
12/06/2021
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