PATRICIA MIRIAM GOMEZ-GILLARD LICENSED CLINICAL SO NPI 1891055703

NPI Information

  • NPI: 1891055703
  • Provider Name: PATRICIA MIRIAM GOMEZ-GILLARD, LICENSED CLINICAL SO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1926 SCENIC DRIVE
    FORTUNA, CA
    ZIP 95540
  • Phone: (707) 273-8701

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NPI Details

Patricia Miriam Gomez-gillard, LICENSED CLINICAL SO is a mental health counselor in Fortuna, CA. Patricia Miriam Gomez-gillard, LICENSED CLINICAL SO NPI is 1891055703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1926 SCENIC DRIVE
FORTUNA, CA
ZIP 95540
Phone: (707) 273-8701

The enumeration date for this NPI number is 5/24/2012 and was last updated on 3/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLCS28005CALIFORNIANo
2101YM0800XCounselorMental HealthLCSW28005CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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