Individual
ADRIANNE TAYLOR GAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
875 G ST UNIT 409, SAN DIEGO, CA 92101-6462
(206) 799-7407
Mailing address
875 G ST UNIT 409, SAN DIEGO, CA 92101-6462
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
121423
CA
Other
Enumeration date
09/01/2020
Last updated
12/16/2024
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