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Christian Uriel Gomez Soberanis

Counselor, Addiction (Substance Use Disorder) in San Bernardino, CA. Individual provider (NPI-1).

NPI number1982449385
StatusActive
Last updated in NPPESJun 27, 2024

Details

NPI
1982449385
Entity type
Individual (NPI-1)
Name
Christian Uriel Gomez Soberanis
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2024
Certification date
Jun 27, 2024
Last updated
Jun 27, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)R1563610624CAYes

Practice location

349 W 11th St
San Bernardino, CA 92410-3513

Phone 909-506-1247

Mailing address

1100 N D St
San Bernardino, CA 92410-3524

Phone 909-884-0840

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