Individual
LISA YVONNE GOMEZ-LEGARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 S 2ND ST STE 110, SAN JOSE, CA 95112-5974
(669) 200-1540
(408) 477-2185
Mailing address
1144 S 2ND ST STE 110, SAN JOSE, CA 95112-5974
(669) 200-1540
(408) 477-2185
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-ZMTSJR
CA
Other
Enumeration date
04/25/2022
Last updated
03/13/2024
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