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General NPI Number Information
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NPI Number | 1225226434
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Entity Type | Individual
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Provider Name | JOHN M GILBERT MA, LMFT, CHT
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Gender | Male
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 4396 HOLLAND RD
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City | CLARKSBURG
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State | CA
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Zip | 95612-5070
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Country | US
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Telephone | 661-310-6648
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Fax | 661-940-5452
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Provider Business Mailing Address
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Address Line | 4396 HOLLAND RD
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City | CLARKSBURG
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State | CA
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Zip | 95612-5070
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Country | US
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Telephone | 661-310-6648
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | MFC 37413
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MFC 37413
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC 37413
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License Number State | CA
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