Doctor Name: | CHRISTINE GAMBILL |
NPI Number: | 1205293776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | C-001300 |
Business Practice Address: | 1260 College Ave Suite 1 Wilkesboro, NC - 286972700 |
Business Phone Number: | 3368180733 |
Business Fax Number: | 3368180734 |
Mailing Address: | 1530 Cedar Ln, WILKESBORO |
State: | NC |
Postal Code: | 286972604 |
Phone Number: | 3362626201 |
Fax Number: | |
NPI Enumeration Date: | 01/28/2016 |
NPI Last Update Date: | 04/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | C-001300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |