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NPI Code Detail

MEDICARE: MRS. LEA RAQUEL GILL LMFT

MEDICARE:  MRS. LEA RAQUEL GILL  LMFT
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
2106H00000XMarriage & Family Therapist96646CA

General Provider Information

NPI Number : 1801052881
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEA RAQUEL GILL LMFT
Provider Business Mailing Address
First Line : PO BOX 3037
Second Line :
City : SAN DIMAS
State : CA
Zip : 91773-7037
Country : US
Telephone Number : 909-549-2065
Fax Number :
Provider Business Practice Location Address
First Line : 235 E BROADWAY STE 314
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-7801
Country : US
Telephone Number : 888-588-8995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2008
Last Update Date : 02/27/2026

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Directions to “ MRS. LEA RAQUEL GILL LMFT” Practice Location

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