Doctor Name: | ANN M GILE |
NPI Number: | 1205130358 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS MFT SACT |
License Number: | 15368-130 |
Business Practice Address: | 300 Femrite Dr Monona, WI - 537163716 |
Business Phone Number: | 6082227311 |
Business Fax Number: | |
Mailing Address: | 10 Kings Mill Cir Unit 214, MADISON |
State: | WI |
Postal Code: | 537183411 |
Phone Number: | 6082147152 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2011 |
NPI Last Update Date: | 01/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 15368-130 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |