person
Diego Fernando Gomez, LCAS-A
Mental Health Counselor in Fort Myers, Florida
NPI 1275914111

Diego Fernando Gomez is a Mental Health Counselor based in Fort Myers, FL and is specialized in Mental Health. Diego Fernando Gomez practices in Fort Myers, FL and has the professional credentials of LCAS-A. The NPI Number for Diego Fernando Gomez is 1275914111 and holds a License No. MH14194 (Florida).

The current practice location address for Diego Fernando Gomez is 15901 Bass Rd Ste 108, Fort Myers, FL and can be reached out via phone at 239-343-6050 and via fax at 239-343-6051.

Location: 15901 Bass Rd Ste 108, Fort Myers, FL, 33902-2147
person
Provider Profile Details
NPI Number
1275914111
Provider Name
Diego Fernando Gomez
Credential
LCAS-A
Provider Entity Type
Individual
Gender
Male
Address
15901 Bass Rd Ste 108, Fort Myers, FL, 33902-2147
Phone Number
239-343-6050
Fax Number
239-343-6051
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100799300 05 FL
institution
Provider Business Practice Location Address Details
Address
15901 Bass Rd Ste 108
City
State
Zip
33908
Phone Number
239-343-6050
Fax Number
239-343-6051
person
Provider Business Mailing Address Details
Address
15901 Bass Rd Ste 108
City
State
Zip
33908
Phone Number
239-343-6050
Fax Number
239-343-6051
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MH14194 (Florida)
Definition
Definition to come...
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