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Anthony Pangallo
Mental Health Counselor in Susanville, California
NPI 1669856423

Anthony Pangallo is a Mental Health Counselor based in Susanville, CA and is specialized in Mental Health. Anthony Pangallo practices in Susanville, CA. The NPI Number for Anthony Pangallo is 1669856423 and holds a License No. (California).

The current practice location address for Anthony Pangallo is 704-385 Bangham Ln, Susanville, CA and can be reached out via phone at 530-310-5542.

Location: 704-385 Bangham Ln, Susanville, CA, 96130-1811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669856423
Provider Name
Anthony Pangallo
Credential
Provider Entity Type
Individual
Gender
Male
Address
704-385 Bangham Ln, Susanville, CA, 96130-1811
Phone Number
530-310-5542
Fax Number
Provider Enumeration Date
07/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
704-385 Bangham Ln
City
Susanville
State
California
Zip
96130-8602
Phone Number
530-310-5542
Fax Number
person
Provider Business Mailing Address Details
Address
704-385 Bangham Ln
City
Susanville
State
California
Zip
96130-8602
Phone Number
530-310-5542
Fax Number
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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