Gomes, Jaquelina

Gomes, Jaquelina is an sole proprietor health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gomes, Jaquelina can be contacted via phone (508) 580-4691.

Contact Information

Primary practice address
1115 W Chestnut St Brockton MA 02301-7501
Phone: (508) 580-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1679833495
LBN Legal business name Gomes, Jaquelina
Credentials B.S
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2012
Last updated May 26th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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