ANDREA NONE GOMEZ
NPI 1710003397
Counselor in San Bernardino, CA
- Individual
- Female
- Counselor
About ANDREA GOMEZ
This page provides the complete NPI Profile along with additional information for Andrea Gomez, a provider established in San Bernardino, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1710003397 assigned on March 2007. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1710003397 Verify this NPI
- Provider Name
- ANDREA NONE GOMEZ
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 658 E BRIER DR SUITE 250 SAN BERNARDINO, CA 92415
- Location Phone
- (909) 501-0747
- Mailing Address
- 658 E BRIER DR SUITE 250 SAN BERNARDINO, CA 92415
- Mailing Phone
- (909) 501-0747
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-22-2007
- Last Update Date
- 03-04-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710003397, enumerated as an "individual" on March 22, 2007.
The provider is located at 658 E BRIER DR SUITE 250 SAN BERNARDINO, CA 92415 and the phone number is (909) 501-0747.
Counselor with taxonomy code 101Y00000X.
