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General NPI Number Information
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NPI Number | 1124978317
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Entity Type | Organization
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Legal Business Name | NIKKI GABRIEL FAMILY THERAPY INC.
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 411 HARVEST DR
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City | MOSCOW
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State | ID
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Zip | 83843-9296
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Country | US
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Telephone | 818-473-0088
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Fax |
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Provider Business Mailing Address
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Address Line | 225 EAST 5TH STREET 8154
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City | MOSCOW
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State | ID
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Zip | 83843
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Country | US
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Telephone | 818-473-0088
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIKKI C GABRIEL
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Credential | LMFT
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Telephone | 310-383-9229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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