Individual
GINA RENEE LONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1141 LEVER BLVD, STOCKTON, CA 95206-2855
(209) 687-3858
Mailing address
PO BOX 1351, LODI, CA 95241-1351
(209) 570-6247
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APCC16786
CA
101YP2500X
Professional Counselor
Primary
APCC16786
CA
Other
Enumeration date
01/26/2026
Last updated
01/26/2026
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