Healthcare Provider Details

I. General information

NPI: 1093744260
Provider Name (Legal Business Name): GAIL EVE LMFT AND RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 HARVARD ST # 2 SUITE 210
SACRAMENTO CA
95815-3317
US

IV. Provider business mailing address

913 EL DORADO WAY
SACRAMENTO CA
95819-3507
US

V. Phone/Fax

Practice location:
  • Phone: 916-397-0714
  • Fax: 916-567-3501
Mailing address:
  • Phone: 916-455-5110
  • Fax: 916-455-5110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFC24889
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: