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Individual

GERARDO VARELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1111 W TOKAY ST # A, LODI, CA 95240-3850
(209) 330-7155
Mailing address
1111 W TOKAY ST, LODI, CA 95240-3850

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
225400000X
Rehabilitation Practitioner
372600000X
Adult Companion
Primary

Other

Enumeration date
06/01/2021
Last updated
04/28/2025
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