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Provider Information for 1902296528

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

ALEX GOMEZ M.A., LMHC

Gender: MALE

Individual NPI: 1902296528

Calendar   Last Updated:  2018-03-17
  Certification Date: 

Details

Name Value
NPI 1902296528
Enumeration Date 2015-02-03
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 826 102ND AVE NE STE 300
BELLEVUE, WA 98004-4158
United States

Phone: #(425) 200-5582 | Fax: 720-554-8065
View Map External Link
Primary Practice Address 826 102ND AVE NE STE 300
BELLEVUE, WA 98004-4158
United States

Phone: #(425) 200-5582 | Fax: 720-554-8065
View Map External Link
Secondary Practice Address 1201 S PROCTOR ST
TACOMA, WA 98405-2047
United States

Phone: 253-396-5000 | Fax:
View Map External Link

Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 101YM0800X - Counselor Mental Health WA LH60739452
No 101Y00000X - Counselor WA 60293371