Individual provider · Type 1 NPI

Judelysse Gomez, PhD

Mental Health Counselor · Pawtucket, RI

NPI number 1376916940 Active

Practice location

160 Beechwood Ave
Pawtucket, RI 02860-5402

Mailing address

249 Roosevelt Ave
Pawtucket, RI 02860-2134

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1376916940

Judelysse Gomez, PhD's National Provider Identifier is 1376916940, issued on Nov 4, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pawtucket, RI. The record was last updated on Nov 4, 2015.