MEDICARE: DR. LAURA EUBANKS GAMBREL PH.D.

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
1	101YP2500X	Professional Counselor	6306	CO
2	106H00000X	Marriage & Family Therapist	2061	NC
3	101YM0800X	Mental Health Counselor	LH61179737	WA

General Provider Information

NPI Number	:	1417122516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA EUBANKS GAMBREL PH.D.

Provider Business Mailing Address
First Line	:	907 HARRIS AVE STE 204
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-7005
Country	:	US
Telephone Number	:	360-935-0151
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 HARRIS AVE STE 204
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-7005
Country	:	US
Telephone Number	:	360-935-0151
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	01/26/2026

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