Individual provider · Type 1 NPI
Marta Lizette Gomez, MA
Mental Health Counselor · St. Petersburg, FL
NPI number
1821134024
Active
Practice location
5800 49th Street North, Suite S-102
St. Petersburg, FL 33709
Fax (727) 322-6143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 8027 (FL) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2101 (FL) |
Mental Health Counselor: Definition to come...
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About NPI 1821134024
Marta Lizette Gomez, MA's National Provider Identifier is 1821134024, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Oct 4, 2010.