Individual
CARLOS EMERY GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
294 E TABERNACLE ST STE 100, ST GEORGE, UT 84770-2936
(801) 995-1788
Mailing address
294 E TABERNACLE ST STE 100, ST GEORGE, UT 84770-2936
(801) 995-1788
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
9681278-3501
UT
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528331451
—
UT
Enumeration date
02/23/2012
Last updated
12/02/2024
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