Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARY R. GOMEZ, LADAC
Active Sole ProprietorMARY R. GOMEZ, LADAC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in ALBUQ, New Mexico. NPI 1275974792 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · ALBUQ, NM
Registration Details
- NPI Number
- 1275974792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2013 (13.137623751884 yrs)
- Last Updated
- Jul 12, 2013
- License
-
3678 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1611 CENTRAL AVE. NWALBUQ, NM, 87104Browse NM providers · Browse ZIP 87104
- Phone
- 5052474622
- Fax
- 5052471373
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.