Judith Gomez, LAC

Individual provider Counselor · NPI 1205481306

Judith Gomez, LAC is a Mental Health Counselor in San Luis, Arizona. Qualified in 2011, 15 years ago. Practices with Sunset Community Health Center Inc, a 29-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying: 15
Licensed in: AZ
In the registry since: 2019

What do these letters mean?

LAC — Licensed Associate Counselor: A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

815 E Cesar Chavez Blvd
San Luis, AZ 85349
Phone: (928) 627-3822
Fax: (928) 627-6666

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

Specialties & licences

Counselor (primary)	Taxonomy 101Y00000X · Licence LAC-16498 (AZ)

Record details

NPI number	1205481306
Entity type	Individual (Type 1)
Gender	Female
Credentials	LAC
Sole proprietor	No
NPI enumerated	August 6, 2019
Last updated in NPPES	August 6, 2019
Mailing address	Po Box 2017, San Luis, AZ 85349-2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	MENTAL HEALTH COUNSELOR
Medical school	OTHER
Graduated	2011 (15 years in practice)
Group practice	Sunset Community Health Center Inc — 29 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	5 on file with Medicare