person
Juan Manuel Gomez
Addiction (Substance Use Disorder) Counselor in Shreveport, Louisiana
NPI 1962506550

Juan Manuel Gomez is an Addiction (Substance Use Disorder) Counselor based in Bossier City, LA and is specialized in Addiction (Substance Use Disorder). Juan Manuel Gomez practices in Shreveport, LA. The NPI Number for Juan Manuel Gomez is 1962506550 and holds a License No. (Louisiana).

The current practice location address for Juan Manuel Gomez is 510 East Stoner Ave, Shreveport, LA and can be reached out via phone at 318-221-8411. You can also correspond with Juan Manuel Gomez through the mailing address at 102 LAKEWOOD PT, BOSSIER CITY, LA - 71111-2000 (mailing address contact number: 318-742-3077).

Location: 510 East Stoner Ave, Shreveport, LA, 71111-2000
person
Provider Profile Details
NPI Number
1962506550
Provider Name
Juan Manuel Gomez
Credential
Provider Entity Type
Individual
Gender
Male
Address
510 East Stoner Ave, Shreveport, LA, 71111-2000
Phone Number
318-221-8411
Fax Number
Provider Enumeration Date
09/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
510 East Stoner Ave
City
State
Zip
71101-4295
Phone Number
318-221-8411
Fax Number
person
Provider Business Mailing Address Details
Address
510 East Stoner Ave
City
State
Zip
71101-4295
Phone Number
318-221-8411
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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