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Eliseo Gastelum
Addiction (Substance Use Disorder) Counselor in Fairfield, California
NPI 1528122975

Eliseo Gastelum is an Addiction (Substance Use Disorder) Counselor based in Dixon, CA and is specialized in Addiction (Substance Use Disorder). Eliseo Gastelum practices in Fairfield, CA. The NPI Number for Eliseo Gastelum is 1528122975 and holds a License No. (California).

The current practice location address for Eliseo Gastelum is 1745 Enterprise Dr Bldg 2, Fairfield, CA and can be reached out via phone at 707-427-6640.

Location: 1745 Enterprise Dr Bldg 2, Fairfield, CA, 95620-4524
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528122975
Provider Name
Eliseo Gastelum
Credential
Provider Entity Type
Individual
Gender
Male
Address
1745 Enterprise Dr Bldg 2, Fairfield, CA, 95620-4524
Phone Number
707-427-6640
Fax Number
Provider Enumeration Date
12/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1745 Enterprise Dr Bldg 2
City
Fairfield
State
California
Zip
94533-5801
Phone Number
707-427-6640
Fax Number
person
Provider Business Mailing Address Details
Address
1745 Enterprise Dr Bldg 2
City
Fairfield
State
California
Zip
94533-5801
Phone Number
707-427-6640
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.
()
Definition
Definition to come...
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