Doctor Name: | GARRETT GABRIEL |
NPI Number: | 1043469000 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 95-206 Kukini Pl Mililani, HI - 967895527 |
Business Phone Number: | 8086302225 |
Business Fax Number: | |
Mailing Address: | 95-206 Kukini Pl, MILILANI |
State: | HI |
Postal Code: | 967895527 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/15/2008 |
NPI Last Update Date: | 09/15/2008 |
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: |