Organization
LATIBULE COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILY GOMEZ (CLINICIAN)
(928) 247-6430
Entity
Organization
Contact information
Practice address
281 W 24TH ST STE 139, YUMA, AZ 85364-8500
(928) 247-6430
(928) 436-8669
Mailing address
3621 W 22ND PL UNIT B, YUMA, AZ 85364-7621
(928) 247-6430
(928) 436-8669
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
16637
AZ
Other
Enumeration date
04/14/2018
Last updated
04/14/2018
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