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Medhankara Thero Galkulame
Addiction (Substance Use Disorder) Counselor in Fullerton, California
NPI 1033610365

Medhankara Thero Galkulame is an Addiction (Substance Use Disorder) Counselor based in Anaheim, CA and is specialized in Addiction (Substance Use Disorder). Medhankara Thero Galkulame practices in Fullerton, CA. The NPI Number for Medhankara Thero Galkulame is 1033610365 and holds a License No. 13944 (California).

The current practice location address for Medhankara Thero Galkulame is 771 W Orangethorpe Ave, Fullerton, CA and can be reached out via phone at 714-879-0929.

Location: 771 W Orangethorpe Ave, Fullerton, CA, 92801-6333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033610365
Provider Name
Medhankara Thero Galkulame
Credential
Provider Entity Type
Individual
Gender
Male
Address
771 W Orangethorpe Ave, Fullerton, CA, 92801-6333
Phone Number
714-879-0929
Fax Number
Provider Enumeration Date
02/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
771 W Orangethorpe Ave
City
Fullerton
State
California
Zip
92832-2806
Phone Number
714-879-0929
Fax Number
person
Provider Business Mailing Address Details
Address
771 W Orangethorpe Ave
City
Fullerton
State
California
Zip
92832-2806
Phone Number
714-879-0929
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
13944 (California)
Definition
Definition to come...
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