Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | APCC6986 | CA |
NPI | 1003262478 |
---|---|
Provider Name | Mr. Pablo Hernan Lo Giudice |
First Address | San Francisco, CA 94102-3200 |
Second Address | San Francisco, CA 94102-4593 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2016 |
Last Update Date | 23/08/2021 |