Individual
DANIEL NELSON GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.A.
Contact information
Practice address
700 N JOHNSON AVE STE P, EL CAJON, CA 92020-2589
(619) 441-1907
Mailing address
700 N JOHNSON AVE STE P, EL CAJON, CA 92020-2589
(619) 441-1907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
MPSS-USVCEY
CA
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
04/02/2024
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