Doctor Name: | MR. GILBERT ALLEN ALBER |
NPI Number: | 1356465637 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.I.S.W., C.A.D.C |
License Number: | 01001 |
Business Practice Address: | 110 N Park Pl Cresco, IA - 521361631 |
Business Phone Number: | 5635471779 |
Business Fax Number: | 5635479914 |
Mailing Address: | Po Box 195, 110 North Park Place CRESCO |
State: | IA |
Postal Code: | 521360195 |
Phone Number: | 5635471779 |
Fax Number: | 5635479914 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 01001 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |