Ethel Gannon

NPI 1528344504 · on the registry since 2011 · sole proprietor

Practice

Address: 11110 Los Alamitos Blvd Ste 213
Los Alamitos, CA 90720
Phone: (562) 325-3899
Organisation at this address: Affinity Counseling, Inc.
Colibri Family Therapy Services, Inc
Primavera Counseling Licensed Clinical Social Worker Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 106H00000X
106H00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-10-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California