MEDICARE: GISSELA PASCHEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	126058	CA

General Provider Information

NPI Number	:	1104228808
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GISSELA PASCHEN

Provider Business Mailing Address
First Line	:	2128 ROOSEVELT AVE UNIT A
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-1522
Country	:	US
Telephone Number	:	510-423-2568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2128 ROOSEVELT AVE UNIT A
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94703-1522
Country	:	US
Telephone Number	:	510-423-2568
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2014
Last Update Date	:	01/16/2025

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Directions to “ GISSELA PASCHEN ” Practice Location

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