Individual
BRENDA GOMEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
2851 S AVENUE B BLDG 25, YUMA, AZ 85364-7726
(928) 336-1611
(928) 336-7497
Mailing address
2851 S AVENUE B BLDG 25, YUMA, AZ 85364-7726
(928) 336-1611
(928) 336-7497
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-13904
AZ
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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