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NPI Code Detail

MEDICARE: MELISSA L GALLARDO LMFT

MEDICARE:   MELISSA L GALLARDO  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 Therapist133409CA

General Provider Information

NPI Number : 1942777396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA L GALLARDO LMFT
Provider Business Mailing Address
First Line : 5455 GARDEN GROVE BLVD STE 200
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-8201
Country : US
Telephone Number : 206-906-5385
Fax Number :
Provider Business Practice Location Address
First Line : 5455 GARDEN GROVE BLVD STE 200
Second Line :
City : WESTMINSTER
State : CA
Zip : 92683-8201
Country : US
Telephone Number : 206-906-5385
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2018
Last Update Date : 01/05/2026

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Directions to “ MELISSA L GALLARDO LMFT” Practice Location

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