Individual
MR. JOSE MATEO GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC, CAADC, CCS
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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