Individual provider · Type 1 NPI
Rafael Gavidia
Mental Health Counselor · Cerritos, CA
NPI number
1649400979
Active
Practice location
10929 South St, Suite #208B
Cerritos, CA 90703-5340
Fax (562) 924-1040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner | 225400000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | ASW73379 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1649400979
Rafael Gavidia's National Provider Identifier is 1649400979, issued on Jul 21, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cerritos, CA. The record was last updated on Sep 21, 2016.