Individual
APRIEL EVE CELESTE GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31764 CASINO DR STE 200, LAKE ELSINORE, CA 92530-2312
(951) 471-4649
Mailing address
31747 FILLE DR, WINCHESTER, CA 92596-9118
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1564950624
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/25/2020
Last updated
08/09/2024
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