Provider Demographics
NPI:1326785312
Name:CHAHIL, GURPREET KAUR
Entity type:Individual
Prefix:
First Name:GURPREET
Middle Name:KAUR
Last Name:CHAHIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 N MAIN ST UNIT 1130
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95336-3209
Mailing Address - Country:US
Mailing Address - Phone:209-225-9909
Mailing Address - Fax:
Practice Address - Street 1:1231 N MAIN ST UNIT 1130
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95336-3209
Practice Address - Country:US
Practice Address - Phone:209-225-9909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-19
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA156144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program