| Jose M Gomez Ma Lpc Caadc Ccs Llc | |
|
30521 Schoenherr Rd # 200a Warren MI 48088-3161 | |
| (248) 470-8918 | |
| Not Available |
| Full Name | Jose M Gomez Ma Lpc Caadc Ccs Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 30521 Schoenherr Rd # 200a, Warren, Michigan |
| Authorized Official Name and Position | Jose M Gomez (OWNER) |
| Authorized Official Contact | 2484708918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose M Gomez Ma Lpc Caadc Ccs Llc 14231 Nadine St Oak Park MI 48237-6932 Ph: (248) 470-8918 | Jose M Gomez Ma Lpc Caadc Ccs Llc 30521 Schoenherr Rd # 200a Warren MI 48088-3161 Ph: (248) 470-8918 |
| NPI Number | 1194483321 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194483321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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