Provider Demographics
NPI:1467969287
Name:CELEIRO, GABRIELA CRISTINA (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:CRISTINA
Last Name:CELEIRO
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 EAST KINNEY STREET
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105
Mailing Address - Country:US
Mailing Address - Phone:551-273-8727
Mailing Address - Fax:201-763-6606
Practice Address - Street 1:243 EAST KINNEY STREET
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105
Practice Address - Country:US
Practice Address - Phone:551-273-8727
Practice Address - Fax:201-763-6606
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical