Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline I Gomez

Individual provider Mental Health Counselor · NPI 1497197289

Jacqueline I Gomez is a Mental Health Counselor in Lauderdale Lakes, Florida. Licensed in Florida. Registered with an NPI since 2013.

Licensed in
FL
In the registry since
2013
Specialties on file
2

Practice location Address checks out

4720 N State Road 7 Bldg B
Lauderdale Lakes, FL 33319-5860
Phone: (954) 463-0911
Fax: (954) 497-3857
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence IMH9585 (FL)
Mental Health Counselor Taxonomy 101YM0800X · Licence MH12224 (FL)

Record details

NPI number1497197289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 23, 2013
Last updated in NPPESNovember 8, 2017

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