Individual provider · Type 1 NPI

Gamaliel Polanco

Mental Health Counselor · Los Angeles, CA

NPI number 1225238488 Active

Practice location

5807 Avalon Blvd
Los Angeles, CA 90011-5303

Call (323) 234-4445 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XASW22095 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1225238488

Gamaliel Polanco's National Provider Identifier is 1225238488, issued on Jul 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 24, 2007.