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NPI Code Detail

MEDICARE: MARIA CLAIRE GATES LPC, MA

MEDICARE: MARIA CLAIRE GATES LPC, MA
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
1101YP2500XProfessional CounselorC.1400165OH

General Provider Information

NPI Number : 1407104193
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CLAIRE GATES LPC, MA
Provider Business Mailing Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-875-2371
Fax Number :
Provider Business Practice Location Address
First Line : 5665 HOOVER RD
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-9122
Country : US
Telephone Number : 614-875-2371
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 12/19/2017

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Directions to “ MARIA CLAIRE GATES LPC, MA” Practice Location

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