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Individual

CHERISSE R GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LPCC, LMFT

Contact information

Practice address
17782 MORO RD, PRUNEDALE, CA 93907-8961
(408) 763-9546
Mailing address
1522 CONSTITUTION BLVD, #391, SALINAS, CA 93905-3803
(408) 763-9546

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH11313
FL
102L00000X
Psychoanalyst
Primary
LPC2365
CA
106H00000X
Marriage & Family Therapist
107059
CA

Other

Enumeration date
05/03/2007
Last updated
03/30/2025
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