Provider Demographics
NPI:1386831402
Name:GIONFRIDDO, CELESTE JOY
Entity Type:Individual
Prefix:
First Name:CELESTE
Middle Name:JOY
Last Name:GIONFRIDDO
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 1:639 SAN RICARDO DR
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2522
Mailing Address - Country:US
Mailing Address - Phone:805-964-3125
Mailing Address - Fax:
Practice Address - Street 1:4570 CALLE REAL
Practice Address - Street 2:CASA DEL MURAL
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93110-1306
Practice Address - Country:US
Practice Address - Phone:805-692-4066
Practice Address - Fax:805-692-9227
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health