Individual provider · Type 1 NPI

Gina Gomez, RADT

Addiction (Substance Use Disorder) Counselor · Upland, CA

NPI number 1417584483 Active

Practice location

934 N Mountain Ave
Upland, CA 91786-3659

Mailing address

14371 El Contento Ave
Fontana, CA 92337-0502

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRH0015020425 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XR1379750320 (CA)

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

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About NPI 1417584483

Gina Gomez, RADT's National Provider Identifier is 1417584483, issued on Mar 26, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upland, CA. The record was last updated on Oct 14, 2025.