Individual
ANDREA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
216 W DIVISION ST, CLARINDA, IA 51632-2509
(712) 542-2388
(712) 542-2984
Mailing address
216 W DIVISION ST, CLARINDA, IA 51632-2509
(712) 542-2388
(712) 542-2984
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19034
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177394
—
IA
01
—
68236
WELLMARK
IA
Enumeration date
02/11/2019
Last updated
07/22/2025
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