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NPI Code Detail

MEDICARE: MRS. KRISTIN FOREHAND GILBERT LPSC

MEDICARE:  MRS. KRISTIN FOREHAND GILBERT  LPSC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1245467596
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTIN FOREHAND GILBERT LPSC
Provider Business Mailing Address
First Line : 6378 SANDHURST DR
Second Line :
City : ROANOKE
State : VA
Zip : 24018-7711
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3433 BRAMBLETON AVE
Second Line :
City : ROANOKE
State : VA
Zip : 24018-6515
Country : US
Telephone Number : 540-529-2904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2009
Last Update Date : 06/14/2009

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Directions to “ MRS. KRISTIN FOREHAND GILBERT LPSC” Practice Location

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