Individual
JEFF GILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2208 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-5957
(510) 583-6715
Mailing address
2208 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-5957
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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