Provider Demographics
NPI:1003283433
Name:GOMEZ, ARAM FEDERICO (LMHC)
Entity Type:Individual
Prefix:MR
First Name:ARAM
Middle Name:FEDERICO
Last Name:GOMEZ
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BRADY RD
Mailing Address - Street 2:
Mailing Address - City:MADRID
Mailing Address - State:NY
Mailing Address - Zip Code:13660-3166
Mailing Address - Country:US
Mailing Address - Phone:315-322-0322
Mailing Address - Fax:
Practice Address - Street 1:501 BRADY RD
Practice Address - Street 2:
Practice Address - City:MADRID
Practice Address - State:NY
Practice Address - Zip Code:13660-3166
Practice Address - Country:US
Practice Address - Phone:315-276-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-02
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health