Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PATRICIA MIRIAM GOMEZ-GILLARD, LICENSED CLINICAL SO
Active Sole ProprietorPATRICIA MIRIAM GOMEZ-GILLARD, LICENSED CLINICAL SO is a Mental Health Counselor healthcare provider located in FORTUNA, California. NPI 1891055703 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · FORTUNA, CA
Registration Details
- NPI Number
- 1891055703
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2012 (14.197445241319 yrs)
- Last Updated
- Mar 4, 2025
- Licenses
-
LCS28005 (CA)LCSW28005 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1926 SCENIC DRIVEFORTUNA, CA, 95540Browse CA providers · Browse ZIP 95540
- Phone
- 7072738701
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in FORTUNA, CA
| Name | Credential | NPI |
|---|---|---|
| JANE SCOTT ANDERSON | MFT | 1417972720 |
| KATHERINE THERESE MAXEY | MA | 1194471623 |
| JENNY MARTINEZ | MSW & PPSC | 1780411991 |
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.