Provider Information for 1740798404
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PEDRO GOMEZ CARRANZA LPCC, M.Ed., M.A.
Sex: Male
NPI: 1740798404
Last Updated: 2024-04-16
Certification Date: 2024-04-16
Certification Date: 2024-04-16
Details
| Name | Value | ||||||||||||
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| NPI | 1740798404 | ||||||||||||
| Enumeration Date | 2018-01-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 8300 ESTERS BLVD STE 900 IRVING, TX 75063-2233 United States Phone: 415-424-4266 | Fax:415-520-6633 | ||||||||||||
| Primary Practice Address | 10775 PIONEER TRL STE 215 TRUCKEE, CA 96161-0234 United States Phone: 415-424-4266 | Fax:415-520-6633 | ||||||||||||
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