Kendra Gomez

NPI #1982736898 in Waterford, California

Provider Information

NPI Number: 1982736898
Entity Type: Individual
Name: Kendra Gomez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12123 FEARL DR
City: Waterford
State: California
ZIP Code: 95386-9409
Phone: (209) 874-9506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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