Individual provider · Type 1 NPI

Mark Anthony Gomez, SUDRC 1

Addiction (Substance Use Disorder) Counselor · Redding, CA

NPI number 1023912086 Active

Practice location

3617 Ricardo Ave
Redding, CA 96002-2653

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X26444 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1023912086

Mark Anthony Gomez, SUDRC 1's National Provider Identifier is 1023912086, issued on Oct 5, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Redding, CA. The record was last updated on Oct 5, 2026.