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NPI Code Detail

MEDICARE: HEATHER CHRISTINE GAAL BSPH, CDCA

MEDICARE: HEATHER CHRISTINE GAAL BSPH, CDCA
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
1101YA0400XAddiction (Substance Use Disorder) Counselor162164OH

General Provider Information

NPI Number : 1689190472
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER CHRISTINE GAAL BSPH, CDCA
Provider Business Mailing Address
First Line : 1804 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3602
Country : US
Telephone Number : 216-471-4213
Fax Number :
Provider Business Practice Location Address
First Line : 1804 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3602
Country : US
Telephone Number : 216-471-4213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 08/14/2017

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