Individual
GAUDENCIO DANIEL FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
974 WAKE FOREST CT, MERCED, CA 95348-2155
(209) 384-7020
Mailing address
3195 M ST, MERCED, CA 95348-2406
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
6045430733
CA
Other
Enumeration date
09/04/2021
Last updated
07/16/2025
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