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MRS. MONIQUE MARIE GOMEZ ANDERSON B.S.
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1710021787
Individual Registrant:MRS. MONIQUE MARIE GOMEZ ANDERSON B.S.
Gender: F
Not Sole Proprietor
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
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
Tel: 310-537-5883 Fax: 310-537-5587
Registration Information:
NPI: 1710021787
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
