Provider Demographics
NPI:1629312160
Name:LIGUORE, GAIL NORRINE (LMFT)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:NORRINE
Last Name:LIGUORE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 N 10TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GROVER BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93433-2159
Mailing Address - Country:US
Mailing Address - Phone:661-204-8848
Mailing Address - Fax:805-668-2007
Practice Address - Street 1:197 N 10TH ST STE 101
Practice Address - Street 2:
Practice Address - City:GROVER BEACH
Practice Address - State:CA
Practice Address - Zip Code:93433-2159
Practice Address - Country:US
Practice Address - Phone:661-204-8848
Practice Address - Fax:805-668-2007
Is Sole Proprietor?:No
Enumeration Date:2012-11-21
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45683106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist