| Doctor Name: | MICHELLE PEARL GAMBLE |
| NPI Number: | 1528103496 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. ED. |
| License Number: | LH60544428 |
| Business Practice Address: | 8903 Key Peninsula Hwy N Lakebay, WA - 983499326 |
| Business Phone Number: | 2538843644 |
| Business Fax Number: | 2538842632 |
| Mailing Address: | 8903 Key Peninsula Hwy N, LAKEBAY |
| State: | WA |
| Postal Code: | 983499326 |
| Phone Number: | 2538843644 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2007 |
| NPI Last Update Date: | 03/24/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH60544428 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |