Individual
MR. JOSE MATEO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAADC, CCS
Contact information
Practice address
30521 SCHOENHERR RD # 200A, WARREN, MI 48088-3161
(586) 275-7308
(248) 609-7472
Mailing address
30521 SCHOENHERR RD # 200A, WARREN, MI 48088-3161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401018930
MI
Other
Enumeration date
04/19/2012
Last updated
12/22/2020
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