Nino Mallillin Gavilan
Nino Mallillin Gavilan is an Addiction (Substance Use Disorder) Counselor in San Mateo, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
3701 Hacienda StSan Mateo, CA 94403-4366
Phone: (650) 727-7992
Fax: (650) 319-9733
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1053146951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | September 3, 2024 |
| Last updated in NPPES | September 3, 2024 |
| Certification date | September 3, 2024 |
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