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Adam Gomez III

Marriage & Family Therapist in West Covina, CA. Individual provider (NPI-1).

NPI number1194482018
StatusActive
Last updated in NPPESMar 11, 2022

Details

NPI
1194482018
Entity type
Individual (NPI-1)
Name
Mr. Adam Gomez III
Sex
Male
Sole proprietor
No
Enumeration date
Nov 27, 2021
Certification date
Dec 1, 2021
Last updated
Mar 11, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist131703CAYes
225400000X Rehabilitation Practitioner––

Practice location

1215 W West Covina Pkwy
West Covina, CA 91790-2815

Phone 626-974-0770

Mailing address

1215 W West Covina Pkwy
West Covina, CA 91790-2815

Phone 626-974-0770

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