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Individual

NELSON GOMEZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
12 RANCHO CAMINO DR, STE 102, POMONA, CA 91766-7008
(909) 865-8500
(909) 865-8552
Mailing address
12 RANCHO CAMINO DR, STE 102, POMONA, CA 91766-7008
(909) 865-8500
(909) 865-8552

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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