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NPI Code Detail

MEDICARE: GLORIA GAY WETTERSTROM LMFT

MEDICARE:   GLORIA GAY WETTERSTROM  LMFT
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
1106H00000XMarriage & Family Therapist114695CA

General Provider Information

NPI Number : 1457689978
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA GAY WETTERSTROM LMFT
Provider Business Mailing Address
First Line : 235 E BROADWAY STE 314
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-7801
Country : US
Telephone Number : 530-240-5855
Fax Number :
Provider Business Practice Location Address
First Line : 235 E BROADWAY STE 314
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-7801
Country : US
Telephone Number : 530-240-5855
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/20/2009
Last Update Date : 03/06/2026

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Directions to “ GLORIA GAY WETTERSTROM LMFT” Practice Location

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