Organization
PINK MOON HC A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUBRI GOMEZ LCSW (FOUNDER/PSYCHOTHERAPIST)
(213) 703-6234
Entity
Organization
Contact information
Practice address
341 N RENO ST, LOS ANGELES, CA 90026-4507
(213) 703-6234
Mailing address
341 N RENO ST, LOS ANGELES, CA 90026-4507
(213) 703-6234
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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