| Doctor Name: | ABIALA TABITHA GILL |
| NPI Number: | 1013158385 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BS., MS |
| License Number: | |
| Business Practice Address: | 14360 Saint Andrews Dr Suite 7 Victorville, CA - 923954358 |
| Business Phone Number: | 7607804750 |
| Business Fax Number: | 7602455896 |
| Mailing Address: | 15095 Amargosa Rd, Suite 201 VICTORVILLE |
| State: | CA |
| Postal Code: | 923941879 |
| Phone Number: | 7602454695 |
| Fax Number: | 7605134696 |
| NPI Enumeration Date: | 03/17/2009 |
| NPI Last Update Date: | 08/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |