Individual
MR. ALFRED L GOMES JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
48 HANOVER LN STE 2, CHICO, CA 95973-7224
(530) 965-1041
Mailing address
48 HANOVER LN STE 2, CHICO, CA 95973-7224
(530) 965-1041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
76579
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851673032
NPI NUMBER
CA
01
—
1851673062
NPI NUMGER
CA
Enumeration date
09/14/2011
Last updated
09/12/2018
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