| Doctor Name: | MS. KIMBERLY MARIE GAMM |
| NPI Number: | 1053576108 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA |
| License Number: | 08003 |
| Business Practice Address: | 105 Main St N Box 74 Hazleton, IA - 506417708 |
| Business Phone Number: | 3196362100 |
| Business Fax Number: | 3196362022 |
| Mailing Address: | Po Box 74, 105 N. Main St HAZLETON |
| State: | IA |
| Postal Code: | 506410074 |
| Phone Number: | 3166362100 |
| Fax Number: | 3196362022 |
| NPI Enumeration Date: | 07/28/2008 |
| NPI Last Update Date: | 07/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 08003 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |