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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