Provider Demographics
NPI:1518984079
Name:CASTELLO KRAMER, GABRIELA (MFT, PHD)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:CASTELLO KRAMER
Suffix:
Gender:F
Credentials:MFT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 ARCH ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94708-1828
Mailing Address - Country:US
Mailing Address - Phone:510-841-8242
Mailing Address - Fax:
Practice Address - Street 1:1559 ARCH ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94708-1828
Practice Address - Country:US
Practice Address - Phone:510-841-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23870106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist