Individual
BRIANNA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 963-5355
Mailing address
600 N ARROWHEAD AVE, SAN BERNARDINO, CA 92401-1164
(909) 963-5355
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
104687
CA
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/01/2014
Last updated
10/15/2021
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