Individual provider · Type 1 NPI

Randall Gates, MFT

Mental Health Counselor · Encino, CA

NPI number 1750658233 Active

Practice location

16542 Ventura Blvd, Suite 320
Encino, CA 91436-2005

Call (310) 422-7101 Map

Mailing address

333 Ohio St, None
Pasadena, CA 91106-4211

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFC 50209 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1750658233

Randall Gates, MFT's National Provider Identifier is 1750658233, issued on Nov 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Encino, CA. The record was last updated on Nov 28, 2011.