Individual
ANDREA ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 826-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
156573
CA
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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