Individual
CECILY GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 W PEARL ST, ANAHEIM, CA 92801-5941
(714) 780-1174
Mailing address
1320 W PEARL ST, ANAHEIM, CA 92801-5941
(714) 883-5749
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15369
CA
Other
Enumeration date
11/07/2024
Last updated
11/08/2024
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