Individual
ALYSSA K GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
(509) 593-5064
(888) 745-2096
Mailing address
8514 W GAGE BLVD STE G, KENNEWICK, WA 99336-8108
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60297766
WA
Other
Enumeration date
03/26/2013
Last updated
07/26/2021
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