Provider Demographics
NPI:1750921128
Name:GAMEZ WALES, MARIA (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:GAMEZ WALES
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 39544
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90239-0544
Mailing Address - Country:US
Mailing Address - Phone:562-896-2232
Mailing Address - Fax:
Practice Address - Street 1:6331 GREENLEAF AVE STE G
Practice Address - Street 2:
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90601-3553
Practice Address - Country:US
Practice Address - Phone:818-501-4700
Practice Address - Fax:818-501-4720
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA93995106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist