Individual
ADAN CARLOS GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
1455 EAST THIRD STREET, SAN BERNARDINO, CA 92408-0118
(909) 382-7100
(909) 382-7115
Mailing address
5473 TOWER RD, RIVERSIDE, CA 92506-1043
(909) 531-7402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW123828
CA
Other
Enumeration date
08/21/2020
Last updated
09/27/2024
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