| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELAINE GOMEZ | 1063021152 | 2020-07-24 |
Elaine Gomez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1063021152. Registration indicates Elaine Gomez is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Elaine Gomez |
| Practice Office Address | 720 N SAINT ASAPH ST ALEXANDRIA, VA US |
| Practice Office Telephone | 7037463400 |
| Mailing Address | 720 N SAINT ASAPH ST ALEXANDRIA, VA 223141912 US |
| Business Telephone | 7037463400 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 0704009665
VA |