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General NPI Number Information
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NPI Number | 1548291644
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Entity Type | Organization
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Legal Business Name | GOMEZ COUNSELING & CONSULTING SERVICES, P.A.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 10/02/2008
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Provider Practice Location Address
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Address Line | 6300 W. LOOP SOUTH SUITE 575
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City | HOUSTON
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State | TX
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Zip | 77401-2900
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Country | US
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Telephone | 713-660-0776
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Fax | 713-660-0033
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Provider Business Mailing Address
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Address Line | 6300 W. LOOP SOUTH SUITE 575
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City | HOUSTON
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State | TX
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Zip | 77401-2900
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Country | US
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Telephone | 713-660-0776
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | MISS JEANNA P. GOMEZ
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Credential | LCSW, LISW, LADAC
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Telephone | 713-660-0776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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