| Doctor Name: | GAIL Z EATON |
| NPI Number: | 1124110473 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, CCJTS |
| License Number: | LCSW11342 |
| Business Practice Address: | 1858 Paseo San Luis Ste D Sierra Vista, AZ - 856355825 |
| Business Phone Number: | 5202551803 |
| Business Fax Number: | 5204583605 |
| Mailing Address: | 1858 Paseo San Luis Ste D, SIERRA VISTA |
| State: | AZ |
| Postal Code: | 856355825 |
| Phone Number: | 5202551803 |
| Fax Number: | 5204583605 |
| NPI Enumeration Date: | 09/28/2006 |
| NPI Last Update Date: | 02/20/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW11342 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |