Provider Demographics
NPI:1275793655
Name:GALLON, CHRISTI ANNE
Entity Type:Individual
Prefix:
First Name:CHRISTI ANNE
Middle Name:
Last Name:GALLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15975 EL SONETO DR
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90603-1448
Mailing Address - Country:US
Mailing Address - Phone:626-422-2528
Mailing Address - Fax:
Practice Address - Street 1:15975 EL SONETO DR
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90603-1448
Practice Address - Country:US
Practice Address - Phone:626-422-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW22338101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health