Individual
CECILIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 HASKELL ST, AUSTIN, TX 78702-5415
(512) 414-3243
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 445-7787
(512) 440-4059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13064
TX
101YP2500X
Professional Counselor
Primary
74445
TX
Other
Enumeration date
06/25/2015
Last updated
03/17/2018
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