Individual
ANTOINETTE MARIA GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18230 E SILVER CREEK AVE BLDG 392, BUCKLEY SFB, CO 80011-9501
(720) 847-6451
Mailing address
18230 E SILVER CREEK AVE BLDG 392, BUCKLEY AFB, CO 80011-9501
(720) 847-6451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACC.0007304
CO
1041C0700X
Clinical Social Worker
Primary
CSW.09923355
CO
106H00000X
Marriage & Family Therapist
MFT.0001713
CO
Other
Enumeration date
11/27/2014
Last updated
09/04/2024
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