Gallegos, Guadalupe Liset

Gallegos, Guadalupe Liset is an individual health care provider with primary practice located at 18350 Mount Langley St Ste 220 , Fountain Valley CA 92708-6912. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gallegos, Guadalupe Liset can be contacted via phone (714) 378-2620.

Contact Information

Primary practice address
18350 Mount Langley St Ste 220 Fountain Valley CA 92708-6912
Phone: (714) 378-2620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 77257 California

Profile Details

NPI number 1073892956
LBN Legal business name Gallegos, Guadalupe Liset
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2011
Last updated Nov 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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