Individual
GISELLE MARIE LAFAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDCC, MATC
Contact information
Practice address
2403 PROFESSIONAL DR STE 103, SANTA ROSA, CA 95403-3007
(707) 526-2999
(707) 526-0527
Mailing address
2403 PROFESSIONAL DR STE 103, SANTA ROSA, CA 95403-3007
(707) 526-2999
(707) 526-0577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8467
CA
373H00000X
Day Training/Habilitation Specialist
Primary
8467
CA
Other
Enumeration date
06/15/2021
Last updated
06/09/2026
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