Provider Demographics
NPI:1376785931
Name:CASABELLA, GISELA BETINA (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:GISELA
Middle Name:BETINA
Last Name:CASABELLA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 N LINCOLN PL
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-1921
Mailing Address - Country:US
Mailing Address - Phone:626-318-5156
Mailing Address - Fax:
Practice Address - Street 1:180 N LINCOLN PL
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-1921
Practice Address - Country:US
Practice Address - Phone:626-318-5156
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-29
Last Update Date:2009-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46974106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist