Provider Demographics
NPI:1205726270
Name:GALLARDO, ANDREA CASTILLO (AMFT)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CASTILLO
Last Name:GALLARDO
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 MARIAN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5940
Mailing Address - Country:US
Mailing Address - Phone:805-878-2832
Mailing Address - Fax:
Practice Address - Street 1:602 MARIAN DR
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5940
Practice Address - Country:US
Practice Address - Phone:805-878-2832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-09
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA143751106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist