Individual provider · Type 1 NPI

Jacqueline I. Gomez

Mental Health Counselor · Lauderdale Lakes, FL

NPI number 1497197289 Active

Practice location

4720 N State Road 7 Bldg B
Lauderdale Lakes, FL 33319-5860

Call (954) 463-0911 Map

Fax (954) 497-3857

Mailing address

4740 N State Road 7
Lauderdale Lakes, FL 33319-5839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH12224 (FL)
Mental Health Counselor Primary 101YM0800XIMH9585 (FL)

Mental Health Counselor: Definition to come...

15 other providers at this address

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About NPI 1497197289

Jacqueline I. Gomez's National Provider Identifier is 1497197289, issued on Jul 23, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lauderdale Lakes, FL. The record was last updated on Nov 8, 2017.