SUSIE LILLIANA GAMBOA

SAN DIEGO, CA
NPI1740893353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  119718)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: CA  119718)
Enumeration Date2020-08-25
Last Update Date2023-02-23
Business Address
SUSIE LILLIANA GAMBOA MS, AMFT
3636 CAMINO DEL RIO N STE 150
SAN DIEGO, CA 92108-1709
Phone number: 951-373-6961
Mailing Address
SUSIE LILLIANA GAMBOA MS, AMFT
PO BOX 461
RIALTO, CA 92377-0461
Phone number: 951-373-6961