Individual
EFREN GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP, MA
Contact information
Practice address
2310 W ROOSEVELT RD, CHICAGO, IL 60608-1131
(312) 783-6948
Mailing address
10806 S AVENUE G, CHICAGO, IL 60617-6713
(773) 698-1001
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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