Individual provider · Type 1 NPI

Gwendolyn Marcia Easley

Counselor · San Bernardino, CA

NPI number 1467065763 Active

Practice location

1845 Business Center Dr Ste 106
San Bernardino, CA 92408-3447

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1467065763

Gwendolyn Marcia Easley's National Provider Identifier is 1467065763, issued on Aug 26, 2020. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Bernardino, CA. The record was last updated on Aug 26, 2020.