MR. Mark I Gomez

NPI #1265733539 in Mcloud, Oklahoma

Provider Information

NPI Number: 1265733539
Entity Type: Individual
Name: MR. Mark I Gomez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Nov 3, 2010
Last Updated: Jan 11, 2013

Practice Location

Address: 105365 HIGHWAY102
City: Mcloud
State: Oklahoma
ZIP Code: 74851
Phone: (405) 964-2081

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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