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1215798442
GUSTAVO ESCALANTE
FRESNO, CA
NPI
1215798442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA AMFT137809)
Enumeration Date
2024-01-16
Last Update Date
2024-01-16
Business Address
GUSTAVO ESCALANTE
1300 E SHAW AVE STE 109
FRESNO, CA 93710-7903
Phone number: 559-712-8800
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Mailing Address
GUSTAVO ESCALANTE
1300 E SHAW AVE STE 109
FRESNO, CA 93710-7903
Phone number: 559-712-8800
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