Most Relevant Information
Provider Data
| NPI Number: | 1003248014 |
| Provider Name: | GARY JEANDRON MFT |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 43051 |
Most Important Dates
| Enumeration Date: | 07/31/2013 |
| Last Updated: | 09/03/2015 |
Provider Practice Location
43585 MONTEREY AVE
STE 4
PALM DESERT
CA
922609342
Practice Location Phone/Fax
| Phone: | 7603458300 |
| Fax: |
Provider Mailing Location
80225 GREEN HILLS DR
INDIO
CA
922010847
Provider Mailing Phone/Fax
| Phone: | 7602184000 |
| Fax: |