Provider Demographics
NPI:1093504540
Name:GIRGIS, CECILE YOUSSEF
Entity type:Individual
Prefix:
First Name:CECILE
Middle Name:YOUSSEF
Last Name:GIRGIS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11299 BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-7793
Mailing Address - Country:US
Mailing Address - Phone:909-835-5621
Mailing Address - Fax:
Practice Address - Street 1:11299 BETHANY DR
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91701-7793
Practice Address - Country:US
Practice Address - Phone:909-835-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146678106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist