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General NPI Number Information
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NPI Number | 1780478180
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Entity Type | Individual
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Provider Name | JULIAN GOMEZ LPC-ASSOCIATE
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Gender | Male
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 645 N WALNUT AVE
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-7925
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Country | US
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Telephone | 830-730-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 2075 WIND CHIME WAY
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City | NEW BRAUNFELS
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State | TX
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Zip | 78130-5567
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Country | US
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Telephone | 830-743-1457
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 93500
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License Number State | TX
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