Individual
DR. RONALD D GELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
25 FLORAMAR, RANCHO SANTA MARGARITA, CA 92688-1308
(949) 533-6075
Mailing address
25 FLORAMAR, RANCHO SANTA MARGARITA, CA 92688-1308
(949) 533-6075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PSY9191
CA
101YM0800X
Mental Health Counselor
PSY9191
CA
101YP2500X
Professional Counselor
PSY9191
CA
103G00000X
Clinical Neuropsychologist
Primary
PSY9191
CA
Other
Enumeration date
04/03/2013
Last updated
06/09/2020
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