Provider Demographics
NPI:1760762363
Name:GAONA, VERONICA GARCIA (LCSW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:GARCIA
Last Name:GAONA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60325
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93160-0325
Mailing Address - Country:US
Mailing Address - Phone:805-685-2823
Mailing Address - Fax:
Practice Address - Street 1:115 S LA CUMBRE LN
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-5102
Practice Address - Country:US
Practice Address - Phone:805-319-7517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-26
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW760491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical