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Judith Gomez, LAC
Counselor in San Luis, Arizona
NPI 1205481306

Judith Gomez is a Counselor based in San Luis, AZ. Judith Gomez practices in San Luis, AZ and has the professional credentials of LAC. The NPI Number for Judith Gomez is 1205481306 and holds a License No. LAC-16498 (Arizona).

The current practice location address for Judith Gomez is 815 E Cesar Chavez Blvd, San Luis, AZ and can be reached out via phone at 928-627-3822 and via fax at 928-627-6666.

Location: 815 E Cesar Chavez Blvd, San Luis, AZ, 85349-2017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205481306
Provider Name
Judith Gomez
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
815 E Cesar Chavez Blvd, San Luis, AZ, 85349-2017
Phone Number
928-627-3822
Fax Number
928-627-6666
Provider Enumeration Date
08/06/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
815 E Cesar Chavez Blvd
City
San Luis
State
Arizona
Zip
85349
Phone Number
928-627-3822
Fax Number
928-627-6666
person
Provider Business Mailing Address Details
Address
815 E Cesar Chavez Blvd
City
San Luis
State
Arizona
Zip
85349
Phone Number
928-627-3822
Fax Number
928-627-6666
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LAC-16498 (Arizona)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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