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MRS. MONIQUE MARIE GOMEZ ANDERSON B.S.

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1710021787

Individual Registrant:
MRS. MONIQUE MARIE GOMEZ ANDERSON B.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
11315 ATLANTIC AVE  LYNWOOD, CA 90262-3007 US
Tel: 310-537-5883  Fax: 310-537-5587

Contact information for business:
11315 ATLANTIC AVE  LYNWOOD, CA 90262-3007 US
Tel: 310-537-5883  Fax: 310-537-5587

Registration Information:
NPI: 1710021787
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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