Individual provider · Type 1 NPI

Ignacio Gallegos Jr.

Mental Health Counselor · San Rafael, CA

NPI number 1780132076 Active

Practice location

914 Mission Ave, 3rd Floor
San Rafael, CA 94901-6106

Mailing address

243 Carina Dr
Santa Rosa, CA 95401-5815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780132076

Ignacio Gallegos Jr.'s National Provider Identifier is 1780132076, issued on Sep 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Rafael, CA. The record was last updated on Sep 14, 2016.