Doctor Name: | CLARIBEL GILL |
NPI Number: | 1104208081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC-IT |
License Number: | 2246-226 |
Business Practice Address: | 1212 S 70th St West Allis, WI - 532143105 |
Business Phone Number: | 4149021500 |
Business Fax Number: | |
Mailing Address: | 1212 S 70th St, WEST ALLIS |
State: | WI |
Postal Code: | 532143105 |
Phone Number: | 4149021500 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 06/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2246-226 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |