Individual provider · Type 1 NPI
Anthony Pangallo
Mental Health Counselor · Susanville, CA
NPI number
1669856423
Active
Practice location
704-385 Bangham Ln
Susanville, CA 96130-8602
Mailing address
PO Box 1811
Susanville, CA 96130-1811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1669856423
Anthony Pangallo's National Provider Identifier is 1669856423, issued on Jul 11, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Susanville, CA. The record was last updated on Jul 11, 2015.