Individual
MR. ALBERT LAWRENCE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LADAC
Contact information
Practice address
4719 PRIMAVERA DR, FARMINGTON, NM 87401-7052
(505) 716-0778
Mailing address
4719 PRIMAVERA DR, FARMINGTON, NM 87401-7052
(505) 716-0778
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C-09082
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
0126741
NM
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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