Individual provider · Type 1 NPI
Manuel O. Gomez, MS., LMH, MCAP, CCM
Mental Health Counselor · Winter Haven, FL
NPI number
1285876409
Active
Practice location
141 E Central Ave Ste 340
Winter Haven, FL 33880
Fax (877) 340-0107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ABC010814-215 (FL) |
| Professional Counselor | 101YP2500X | 6158 (FL) |
| Case Manager/Care Coordinator | 171M00000X | 131096 (FL) |
| Case Manager/Care Coordinator | 171M00000X | 689259179 (FL) |
| Mental Health Counselor Primary | 101YM0800X | 11142 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1285876409
Manuel O. Gomez, MS., LMH, MCAP, CCM's National Provider Identifier is 1285876409, issued on Apr 2, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Winter Haven, FL. The record was last updated on Sep 27, 2018.