Individual provider · Type 1 NPI
Gina Vance, CCHT
Specialist · Sausalito, CA
NPI number
1053844787
Active
Practice location
3030 Bridgeway, Ste 242
Sausalito, CA 94965-2810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | CCHT (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1053844787
Gina Vance, CCHT's National Provider Identifier is 1053844787, issued on Apr 10, 2017. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sausalito, CA. The record was last updated on Apr 10, 2017.