Individual
MICHAEL GALLESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 S KRAEMER BLVD STE 220, PLACENTIA, CA 92870-6110
(949) 257-2249
Mailing address
32158 CAMINO CAPISTRANO STE 104-802, SAN JUAN CAPISTRANO, CA 92675-3720
(424) 257-0746
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1454740122
CA
101YM0800X
Mental Health Counselor
Primary
13892
CA
101YM0800X
Mental Health Counselor
22226
CA
101YP2500X
Professional Counselor
Primary
22226
CA
Other
Enumeration date
01/17/2018
Last updated
03/13/2026
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