person
Ms. Evangelina Gomez, CADC
Addiction (Substance Use Disorder) Counselor in Santa Cruz, California
NPI 1023234291

Evangelina Gomez is an Addiction (Substance Use Disorder) Counselor based in Santa Cruz, CA and is specialized in Addiction (Substance Use Disorder). Evangelina Gomez practices in Santa Cruz, CA and has the professional credentials of CADC. The NPI Number for Evangelina Gomez is 1023234291 and holds a License No. CADC G0605261426 (California).

The current practice location address for Evangelina Gomez is 1400 Emeline Ave, Santa Cruz, CA and can be reached out via phone at 831-454-4170 and via fax at 831-454-4663. You can also correspond with Evangelina Gomez through the mailing address at 1400 EMELINE AVE, SANTA CRUZ, CA - 95060-1976 (mailing address contact number: 831-454-4170).

Location: 1400 Emeline Ave, Santa Cruz, CA, 95060-1976
person
Provider Profile Details
NPI Number
1023234291
Provider Name
Evangelina Gomez
Credential
CADC
Provider Entity Type
Individual
Gender
Female
Address
1400 Emeline Ave, Santa Cruz, CA, 95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA SANTA CRUZ COUNTY CALIFORNIA MEDICARE GROUP PTAN#
FHC70042F 01 CA SANTA CRUZ COUNTY CALIFORNIA MEDI-CAL GROUP PTAN#
FHC70044F 01 CA SANTA CRUZ COUNTY CALIFORNIA MEDI-CAL GROUP PTAN#
G0605261426 01 CA CADC REGISTRATION
ZZZ91891Z 01 CA SANTA CRUZ COUNTY CALIFORNIA MEDICARE GROUP PTAN#
ZZZ92069Z 01 CA SANTA CRUZ COUNTY CALIFORNIA MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave
City
State
Zip
95060-1976
Phone Number
831-454-4170
Fax Number
831-454-4663
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CADC G0605261426 (California)
Definition
Definition to come...
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