Individual provider · Type 1 NPI
Cosme Jesus Gomez, CADC-CAS
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1295195733
Active
Practice location
1031 25th St
San Diego, CA 92102-2102
Mailing address
1119 34th St Apt D
San Diego, CA 92102-2451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | C036580116 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1295195733
Cosme Jesus Gomez, CADC-CAS's National Provider Identifier is 1295195733, issued on Feb 25, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Feb 25, 2016.