Individual provider · Type 1 NPI
Juan Manuel Gomez
Addiction (Substance Use Disorder) Counselor · Shreveport, LA
NPI number
1962506550
Active
Practice location
510 East Stoner Ave
Shreveport, LA 71101-4295
Mailing address
102 Lakewood Pt
Bossier City, LA 71111-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1962506550
Juan Manuel Gomez's National Provider Identifier is 1962506550, issued on Sep 12, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.