| Doctor Name: | GAIL OSTRISHKO |
| NPI Number: | 1891062261 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 2205 |
| Business Practice Address: | 13500 Hwy 50 Suite 101 Surf City, NC - 28445 |
| Business Phone Number: | 9192192666 |
| Business Fax Number: | |
| Mailing Address: | 42 Bermuda Landing Pl, N TOPSAIL BEACH |
| State: | NC |
| Postal Code: | 284608557 |
| Phone Number: | 9192192666 |
| Fax Number: | 9197790727 |
| NPI Enumeration Date: | 11/29/2011 |
| NPI Last Update Date: | 09/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |