Individual
ALICIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
4219 N SAWYER AVE, CHICAGO, IL 60618-1209
(330) 720-4256
Mailing address
4219 N SAWYER AVE, CHICAGO, IL 60618-1209
(330) 720-4256
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.008195
IL
Other
Enumeration date
12/01/2015
Last updated
03/16/2017
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