Individual
LEONIDAS GKIMISIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1648 OLD HART RANCH RD, ROSEVILLE, CA 95661-5853
(415) 601-9761
Mailing address
PO BOX 14309, CHICAGO, IL 60614-8503
(415) 601-9761
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4604
CA
Other
Enumeration date
03/01/2021
Last updated
06/14/2023
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