person
Dr. Gregorio J Canillas, PHD
Mental Health Counselor in Pasadena, California
NPI 1942333489

Gregorio J Canillas is a Mental Health Counselor based in Long Beach, CA and is specialized in Mental Health. Gregorio J Canillas practices in Pasadena, CA and has the professional credentials of PHD. The NPI Number for Gregorio J Canillas is 1942333489 and holds a License No. (California).

The current practice location address for Gregorio J Canillas is 2555 E Colorado Blvd, Pasadena, CA and can be reached out via phone at 626-577-2261 and via fax at 626-577-2543. You can also correspond with Gregorio J Canillas through the mailing address at 1175 E OCEAN BLVD, LONG BEACH, CA - 90802-5674 (mailing address contact number: 562-951-5643).

Location: 2555 E Colorado Blvd, Pasadena, CA, 90802-5674
person
Provider Profile Details
NPI Number
1942333489
Provider Name
Gregorio J Canillas
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
2555 E Colorado Blvd, Pasadena, CA, 90802-5674
Phone Number
626-577-2261
Fax Number
626-577-2543
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DMH STAFF CODE 01 CA ICAN753
institution
Provider Business Practice Location Address Details
Address
2555 E Colorado Blvd
City
State
Zip
91107-6622
Phone Number
626-577-2261
Fax Number
626-577-2543
person
Provider Business Mailing Address Details
Address
2555 E Colorado Blvd
City
State
Zip
91107-6622
Phone Number
626-577-2261
Fax Number
626-577-2543
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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