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Mrs. Gina Lisa Olivares
Mental Health Counselor in San Pablo, California
NPI 1386802247

Gina Lisa Olivares is a Mental Health Counselor based in San Pablo, CA and is specialized in Mental Health. Gina Lisa Olivares practices in San Pablo, CA. The NPI Number for Gina Lisa Olivares is 1386802247 and holds a License No. (California).

The current practice location address for Gina Lisa Olivares is 2523 El Portal Dr, San Pablo, CA and can be reached out via phone at 510-506-0157 and via fax at 510-439-3129.

Location: 2523 El Portal Dr, San Pablo, CA, 94806-3305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386802247
Provider Name
Gina Lisa Olivares
Credential
Provider Entity Type
Individual
Gender
Female
Address
2523 El Portal Dr, San Pablo, CA, 94806-3305
Phone Number
510-506-0157
Fax Number
510-439-3129
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2523 El Portal Dr
City
San Pablo
State
California
Zip
94806-3305
Phone Number
510-506-0157
Fax Number
510-439-3129
person
Provider Business Mailing Address Details
Address
2523 El Portal Dr
City
San Pablo
State
California
Zip
94806-3305
Phone Number
510-506-0157
Fax Number
510-439-3129
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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