Provider Demographics
NPI:1669695599
Name:FRANCO, GILBERT ERNEST (MFT)
Entity type:Individual
Prefix:
First Name:GILBERT
Middle Name:ERNEST
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 551
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91908
Mailing Address - Country:US
Mailing Address - Phone:619-428-4463
Mailing Address - Fax:619-428-7952
Practice Address - Street 1:9628 CAMPO ROAD
Practice Address - Street 2:SUITE M
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91977
Practice Address - Country:US
Practice Address - Phone:619-446-8096
Practice Address - Fax:619-428-7952
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAB8238202106H00000X
CA50841106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist