person
Jonathan Gomez-betancourt
Addiction (Substance Use Disorder) Counselor in Visalia, California
NPI 1407256670

Jonathan Gomez-betancourt is an Addiction (Substance Use Disorder) Counselor based in Visalia, CA and is specialized in Addiction (Substance Use Disorder). Jonathan Gomez-betancourt practices in Visalia, CA. The NPI Number for Jonathan Gomez-betancourt is 1407256670 and holds a License No. D6754637 (California).

The current practice location address for Jonathan Gomez-betancourt is 220 N Locust St, Visalia, CA and can be reached out via phone at 559-627-1385 and via fax at 559-636-2105.

Location: 220 N Locust St, Visalia, CA, 93291-4946
person
Provider Profile Details
NPI Number
1407256670
Provider Name
Jonathan Gomez-betancourt
Credential
Provider Entity Type
Individual
Gender
Male
Address
220 N Locust St, Visalia, CA, 93291-4946
Phone Number
559-627-1385
Fax Number
559-636-2105
Provider Enumeration Date
08/25/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5478 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
220 N Locust St
City
State
Zip
93291-4946
Phone Number
559-627-1385
Fax Number
559-636-2105
person
Provider Business Mailing Address Details
Address
220 N Locust St
City
State
Zip
93291-4946
Phone Number
559-627-1385
Fax Number
559-636-2105
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
D6754637 (California)
Definition
Definition to come...
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