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Rafael Gavidia
Mental Health Counselor in Cerritos, California
NPI 1649400979

Rafael Gavidia is a Mental Health Counselor based in Cerritos, CA and is specialized in Mental Health. Rafael Gavidia practices in Cerritos, CA. The NPI Number for Rafael Gavidia is 1649400979 and holds a License No. (California).

The current practice location address for Rafael Gavidia is 10929 South St, Cerritos, CA and can be reached out via phone at 562-924-5526 and via fax at 562-924-1040.

Location: 10929 South St, Cerritos, CA, 90703-5340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649400979
Provider Name
Rafael Gavidia
Credential
Provider Entity Type
Individual
Gender
Male
Address
10929 South St, Cerritos, CA, 90703-5340
Phone Number
562-924-5526
Fax Number
562-924-1040
Provider Enumeration Date
07/21/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10929 South St
City
Cerritos
State
California
Zip
90703-5340
Phone Number
562-924-5526
Fax Number
562-924-1040
person
Provider Business Mailing Address Details
Address
10929 South St
City
Cerritos
State
California
Zip
90703-5340
Phone Number
562-924-5526
Fax Number
562-924-1040
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
ASW73379 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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