Individual provider · Type 1 NPI

Edgar Ledezma Gallo

Mental Health Counselor · Sacramento, CA

NPI number 1972257491 Active

Practice location

3820 Auburn Blvd Ste 100
Sacramento, CA 95821-2124

Mailing address

3469 W Benjamin Holt Dr Apt 425
Stockton, CA 95219-3546

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1972257491

Edgar Ledezma Gallo's National Provider Identifier is 1972257491, issued on Feb 4, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Sacramento, CA. The record was last updated on Feb 4, 2022.