Most Relevant Information
Provider Data
NPI Number: | 1003559550 |
Provider Name: | JESSICA LYNN GOMEZ LMHC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | MH20614 |
Most Important Dates
Enumeration Date: | 04/13/2022 |
Last Updated: | 04/13/2022 |
Provider Practice Location
9030 58TH DR E
BRADENTON
FL
342026108
Practice Location Phone/Fax
Phone: | 9415676207 |
Fax: |
Provider Mailing Location
10933 HIGH NOON TRL
PARRISH
FL
342191419
Provider Mailing Phone/Fax
Phone: | 7172019500 |
Fax: |