Individual provider · Type 1 NPI

Susie Lilliana Gamboa, MS, LMFT

Marriage & Family Therapist · Glendale, CA

NPI number 1740893353 Active

Practice location

300 N Brand Blvd Ste 170
Glendale, CA 91203-2304

Call (909) 453-2984 Map

Mailing address

1835 E Edgewood Dr Ste 105
Appleton, WI 54913-9325

Other practice locations

  • 600 E Woodcrest Dr, Appleton, WI 54915-7034 · (909) 453-2984

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X158502 (CA)
Marriage & Family Therapist Primary 106H00000X158502 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1740893353

Susie Lilliana Gamboa, MS, LMFT's National Provider Identifier is 1740893353, issued on Aug 25, 2020. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Glendale, CA. The record was last updated on Oct 14, 2026.