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: |