Individual
MR. ANGEL GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 394-5706
Mailing address
8540 BAYCENTER RD, JACKSONVILLE, FL 32256-7420
(904) 394-5706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
SW21828
FL
Other
Enumeration date
02/08/2021
Last updated
10/17/2023
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