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GILBERT DAVID BAO

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1982234720

Individual Registrant:
 GILBERT DAVID BAO 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
284 PENNSYLVANIA DR STE 1&2  WATSONVILLE, CA 95076-3768 US
Tel: 831-319-4200  Fax: --

Contact information for business:
284 PENNSYLVANIA DR STE 1&2  WATSONVILLE, CA 95076-3768 US
Tel: 831-319-4200  Fax: --

Registration Information:
NPI: 1982234720
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CA7477

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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