Individual provider · Type 1 NPI
Jose Mateo Gomez, MA, LPC, CAADC, CCS
Professional Counselor · Warren, MI
NPI number
1558628271
Active
Practice location
30521 Schoenherr Rd # 200A
Warren, MI 48088-3161
Fax (248) 609-7472
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | 6401018930 (MI) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1558628271
Jose Mateo Gomez, MA, LPC, CAADC, CCS's National Provider Identifier is 1558628271, issued on Apr 19, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Warren, MI. The record was last updated on Dec 22, 2020.