Individual provider · Type 1 NPI
Patricia Miriam Gomez-Gillard, LICENSED CLINICAL SO
Mental Health Counselor · Fortuna, CA
NPI number
1891055703
Active
Practice location
1926 Scenic Drive
Fortuna, CA 95540
Mailing address
P.o. Box 3608
Eureka, CA 95502-3608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LCS28005 (CA) |
| Mental Health Counselor Primary | 101YM0800X | LCSW28005 (CA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Fortuna
About NPI 1891055703
Patricia Miriam Gomez-Gillard, LICENSED CLINICAL SO's National Provider Identifier is 1891055703, issued on May 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fortuna, CA. The record was last updated on Mar 4, 2025.