Individual
GLORIA VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43536 DIVISION ST, LANCASTER, CA 93535
(661) 266-4783
Mailing address
43536 DIVISION ST, LANCASTER, CA 93535
(661) 266-4783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
07/12/2011
Last updated
04/23/2026
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