Doctor Name: | SARAH PHINIZY GAMBLE KARLS |
NPI Number: | 1043631179 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 6248 |
Business Practice Address: | 915 1st Ave S Center For Mental Health Great Falls, MT - 594013705 |
Business Phone Number: | 4067612100 |
Business Fax Number: | 4067612107 |
Mailing Address: | Po Box 3089, Center For Mental Health GREAT FALLS |
State: | MT |
Postal Code: | 594033089 |
Phone Number: | 4067612100 |
Fax Number: | 4067612107 |
NPI Enumeration Date: | 12/16/2013 |
NPI Last Update Date: | 01/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 6248 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |