Provider Demographics
NPI:1144105511
Name:REGALADO, GIOVANA (AMFT)
Entity type:Individual
Prefix:
First Name:GIOVANA
Middle Name:
Last Name:REGALADO
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 1:56 PASCO DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-2065
Mailing Address - Country:US
Mailing Address - Phone:925-325-5308
Mailing Address - Fax:
Practice Address - Street 1:4141 HARBOR ST
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-6156
Practice Address - Country:US
Practice Address - Phone:925-473-2440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA141579101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool