Individual
ANTONIO GALLARDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216A SWETT RD, WOODSIDE, CA 94062-4752
(650) 679-4475
Mailing address
PO BOX 6371, SAN MATEO, CA 94403-6371
(650) 679-4475
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
75166
CA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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