Individual
GEORGE F GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1406 N GRANDVIEW, ODESSA, TX 79761
(432) 332-9644
(432) 332-2944
Mailing address
1417 WILSHIRE DR, ODESSA, TX 79761
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
17273
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6610LC
BXBS
TX
Enumeration date
09/06/2006
Last updated
07/08/2007
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