Individual
CARLA J GAMBOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
500 S MAIN ST STE 1100, ORANGE, CA 92868-4513
(714) 955-6562
Mailing address
500 S. MAIN ST. SUITE 1100, ORANGE COUNTY, CA 92868
(714) 955-6562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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