Individual
YADIRA GAONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 16035, SAN LUIS, AZ 85349-6958
(928) 224-8026
Mailing address
PO BOX 16035, SAN LUIS, AZ 85349-6958
(928) 224-8026
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
147894
CA
Other
Enumeration date
11/10/2015
Last updated
08/28/2024
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