Individual
NELSON GOMEZ JR.
Active
Individual
NELSON GOMEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7068
—
CA
05
—
7420
—
CA
01
—
PSY27761
LICENSE NUMBER
—
Enumeration date
03/12/2009
Last updated
04/19/2016
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