GABRIELLE LIVINGSTON BANTA

LONG BEACH, CA
NPI1700670676
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  139157)
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
GABRIELLE LIVINGSTON BANTA
2009 PALO VERDE AVE
LONG BEACH, CA 90815-3322
Phone number: 562-794-7008
Mailing Address
GABRIELLE LIVINGSTON BANTA
2009 PALO VERDE AVE
LONG BEACH, CA 90815-3322
Phone number: 562-794-7008