Individual provider · Type 1 NPI

Kelsey Danielle Leroy Gomez

Mental Health Counselor · Roseburg, OR

NPI number 1457615353 Active

Practice location

621 W Madrone St
Roseburg, OR 97470-3090

Call (541) 440-3532 Map

Mailing address

PO Box 1121
Roseburg, OR 97470-0254

Other practice locations

  • 272 NW Medical Loop, Suite C, Roseburg, OR 97471-5597 · (541) 440-3532

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457615353

Kelsey Danielle Leroy Gomez's National Provider Identifier is 1457615353, issued on Jun 26, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roseburg, OR. The record was last updated on Jul 2, 2025.