Individual provider · Type 1 NPI
Judith Gomez, LAC
Counselor · San Luis, AZ
NPI number
1205481306
Active
Practice location
815 E Cesar Chavez Blvd
San Luis, AZ 85349
Fax (928) 627-6666
Mailing address
PO Box 2017
San Luis, AZ 85349-2017
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LAC-16498 (AZ) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3 other providers at this address
About NPI 1205481306
Judith Gomez, LAC's National Provider Identifier is 1205481306, issued on Aug 6, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Luis, AZ. The record was last updated on Aug 6, 2019.