MEDICARE: DACNI CHARLENE GABEL LMHC

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	101YM0800X	Mental Health Counselor	00759	IA

General Provider Information

NPI Number	:	1639656846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DACNI CHARLENE GABEL LMHC

Provider Business Mailing Address
First Line	:	108 TIMBER LN
Second Line	:
City	:	ACKWORTH
State	:	IA
Zip	:	50001-9663
Country	:	US
Telephone Number	:	515-418-3279
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 E 2ND AVE
Second Line	:
City	:	INDIANOLA
State	:	IA
Zip	:	50125-2802
Country	:	US
Telephone Number	:	515-418-3279
Fax Number	:

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

Provider Enumeration Date	:	07/20/2018
Last Update Date	:	07/20/2018

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