Most Relevant Information
Provider Data
| NPI Number: | 1003418203 |
| Provider Name: | GERALDINE AUDREY DELAFOSSE CADC I |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | CI36400922 |
Most Important Dates
| Enumeration Date: | 11/12/2020 |
| Last Updated: | 12/29/2022 |
Provider Practice Location
24953 PASEO DE VALENCIA BLDG B STE 1B
LAGUNA HILLS
CA
926534340
Practice Location Phone/Fax
| Phone: | 9495400170 |
| Fax: | 9495400173 |
Provider Mailing Location
24953 PASEO DE VALENCIA BLDG B STE 1B
LAGUNA HILLS
CA
926534340
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |