Individual
ANA MILDRED GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LPC
Contact information
Practice address
2345 E THOMAS RD STE 385, PHOENIX, AZ 85016-7866
(602) 803-4601
Mailing address
2345 E THOMAS RD STE 385, PHOENIX, AZ 85016-7866
(602) 803-4601
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-11374
AZ
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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