Individual
CRYSTAL NICHOLE GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(669) 347-4286
Mailing address
499 LOMA ALTA AVE, LOS GATOS, CA 95030-6227
(669) 347-4286
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
175T00000X
Peer Specialist
Primary
MPSS-KAOCQE
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
01/07/2025
Last updated
08/12/2025
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