Gavino, Angelica Rodriguez

Gavino, Angelica Rodriguez is an individual health care provider with primary practice located at 1161 Bay Blvd Ste B, Chula Vista CA 91911-2670. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Marriage & Family Therapist is her primary health care specialty. Gavino, Angelica Rodriguez can be contacted via phone (619) 585-7686.

Contact Information

Primary practice address
1161 Bay Blvd Ste B Chula Vista CA 91911-2670
Phone: (619) 585-7686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1255459483
LBN Legal business name Gavino, Angelica Rodriguez
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Mar 25th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255459483 NPPES
Other 6517 UBH

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