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MRS. TAMIKA JANELLE GAFFORD B.A, BHRS, BHCM

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1497985287

Individual Registrant:
MRS. TAMIKA JANELLE GAFFORD B.A, BHRS, BHCM
Gender: F
Not Sole Proprietor

Location and contact information for practice:
17595 ALMAHURST ST  CITY OF INDUSTRY, CA 91748-1779 US
Tel: 626-344-4434  Fax: --

Contact information for business:
16782 VON KARMAN AVE STE 11  IRVINE, CA 92606-2417 US
Tel: 949-833-2237  Fax: --

Registration Information:
NPI: 1497985287
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
N106S00000X
Y101YA0400XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
200386690AOK05




HEALTH CARE JOBS CA - Page 1



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