Individual
CAROLINA GOYENECHE GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 PETER BRYCE BLVD, TUSCALOOSA, AL 35401-7457
(205) 348-1770
Mailing address
1401 PINNACLE PARK LN APT 501, TUSCALOOSA, AL 35406-3106
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC04949
AL
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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