Monique Marie Gomez Anderson, B.S.
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lynwood, CA
NPI 1710021787 · NPPES record last updated Nov 17, 2014
Key facts
- NPI
- 1710021787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 11315 Atlantic Ave
Lynwood, CA 90262-3007 - Phone
- (310) 537-5883
- Fax
- (310) 537-5587
- NPI assigned
- Feb 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
11315 Atlantic Ave
Lynwood, CA 90262-3007
Mailing address
11315 Atlantic Ave
Lynwood, CA 90262-3007
Phone (310) 537-5883
Other providers in Lynwood, CA
- Myrna Alvarez
- Myesha Alverson
- Amanecer Community Counseling Service, a Non-Profit Corporation
- Norma Amezcua
- Maxine Anderson
- Arlene Andrade
- Jacqueline Andrade
- Andy Hong MD Inc
- Keisha Anthony
- Rafael Alberto Antillon Sr.
All providers in Lynwood, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.