Individual
LAUREN GIDEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
APCC
Contact information
Practice address
1180 THIRD AVE STE C3, CHULA VISTA, CA 91911-3139
(619) 691-8164
Mailing address
1400 N JOHNSON AVE STE 101, EL CAJON, CA 92020-1651
(161) 944-2027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
12408
CA
101YP2500X
Professional Counselor
Primary
12408
CA
Other
Enumeration date
12/09/2022
Last updated
02/07/2025
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