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Gabriela Bautista Cornejo
Mental Health Counselor in Manteca, California
NPI 1710622295

Gabriela Bautista Cornejo is a Mental Health Counselor based in Manteca, CA and is specialized in Mental Health. Gabriela Bautista Cornejo practices in Manteca, CA. The NPI Number for Gabriela Bautista Cornejo is 1710622295 and holds a License No. (California).

The current practice location address for Gabriela Bautista Cornejo is 302 Cherry Ln Ste 101, Manteca, CA and can be reached out via phone at 209-647-6200.

Location: 302 Cherry Ln Ste 101, Manteca, CA, 95337-4311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710622295
Provider Name
Gabriela Bautista Cornejo
Credential
Provider Entity Type
Individual
Gender
Female
Address
302 Cherry Ln Ste 101, Manteca, CA, 95337-4311
Phone Number
209-647-6200
Fax Number
Provider Enumeration Date
04/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
302 Cherry Ln Ste 101
City
Manteca
State
California
Zip
95337-4311
Phone Number
209-647-6200
Fax Number
person
Provider Business Mailing Address Details
Address
302 Cherry Ln Ste 101
City
Manteca
State
California
Zip
95337-4311
Phone Number
209-647-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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