Individual
MR. ALEJANDRO GOMEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 639-4532
(217) 398-0172
Mailing address
1801 FOX DR, CHAMPAIGN, IL 61820-7236
(217) 639-4532
(217) 398-0172
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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