Individual provider · Type 1 NPI

Jacqueline Lizette Gomez

Mental Health Counselor · Riverside, CA

NPI number 1669180592 Active

Practice location

3625 14th St
Riverside, CA 92501-3815

Call (951) 955-1540 Map

Mailing address

PO Box 1405
Riverside, CA 92502-1405

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1669180592

Jacqueline Lizette Gomez's National Provider Identifier is 1669180592, issued on Nov 9, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Riverside, CA. The record was last updated on Nov 9, 2022.