Individual provider · Type 1 NPI

Aurelio Gamboa Jr.

Counselor · Costa Mesa, CA

NPI number 1770635955 Active

Practice location

3188 Airway Ave, Suite F
Costa Mesa, CA 92626-4652

Fax (714) 689-1381

Mailing address

3188 Airway Ave Ste F
Costa Mesa, CA 92626-4652

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1770635955

Aurelio Gamboa Jr.'s National Provider Identifier is 1770635955, issued on Jan 17, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 8, 2007.