Individual provider · Type 1 NPI

Jerry Gladney

Mental Health Counselor · Garden Grove, CA

NPI number 1629602958 Active

Practice location

12141 Brookhurst St
Garden Grove, CA 92840-2865

Call (714) 296-1934 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629602958

Jerry Gladney's National Provider Identifier is 1629602958, issued on Feb 25, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Garden Grove, CA. The record was last updated on Apr 14, 2022.