Provider Demographics
NPI:1013710656
Name:GABIA AMBROCIO, COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:GABIA AMBROCIO, COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABIA ALEJANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROCIO ZAMORA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-697-6523
Mailing Address - Street 1:812 ELM AVE
Mailing Address - Street 2:
Mailing Address - City:HOLTVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92250-1636
Mailing Address - Country:US
Mailing Address - Phone:760-697-6523
Mailing Address - Fax:
Practice Address - Street 1:812 ELM AVE
Practice Address - Street 2:
Practice Address - City:HOLTVILLE
Practice Address - State:CA
Practice Address - Zip Code:92250-1636
Practice Address - Country:US
Practice Address - Phone:760-697-6523
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty