Individual
LISSETTE GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.F.T.
Contact information
Practice address
2500 SW 107TH AVE STE 42, MIAMI, FL 33165-2492
(786) 615-3334
Mailing address
2500 SW 107TH AVE STE 42, MIAMI, FL 33165-2492
(786) 615-3334
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT 78326
CA
106H00000X
Marriage & Family Therapist
MT3351
FL
Other
Enumeration date
01/20/2010
Last updated
06/13/2023
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