Individual
CHANITA GALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 ROLAND WAY STE 100, OAKLAND, CA 94621-2034
(510) 839-3800
Mailing address
401 ROLAND WAY STE 100, OAKLAND, CA 94621-2034
(916) 671-2646
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
11/22/2025
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