Ileana Gallegos
Counselor, Mental Health in Rancho Cucamonga, CA. Individual provider (NPI-1).
NPI number1699225565
StatusActive
Last updated in NPPESJan 20, 2021
Details
- NPI
- 1699225565
- Entity type
- Individual (NPI-1)
- Name
- Ileana Gallegos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2016
- Certification date
- Jan 20, 2021
- Last updated
- Jan 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCSW99167 | CA | Yes |
Practice location
9500 Haven Ave Ste 100Rancho Cucamonga, CA 91730
Phone 909-980-6700
Mailing address
9500 Haven Ave Ste 100Rancho Cucamonga, CA 91730-5871
Other practice locations
1509 W Cameron Ave Ste 230
West Covina, CA 91790-2725
West Covina, CA 91790-2725
Phone 626-993-3000
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