| Doctor Name: | JOAN M GAMACHE |
| NPI Number: | 1043281702 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMSW |
| License Number: | 6801079085 |
| Business Practice Address: | 6051 Frankfort Hwy Suite 800 Benzonia, MI - 496169558 |
| Business Phone Number: | 2318822190 |
| Business Fax Number: | |
| Mailing Address: | 8752 Lyman Rd, KALEVA |
| State: | MI |
| Postal Code: | 496459717 |
| Phone Number: | 2318895664 |
| Fax Number: | |
| NPI Enumeration Date: | 01/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6801079085 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |