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NPI 1245467596

NPI 1245467596 : KRISTIN FOREHAND GILBERT LPSC : ROANOKE, VA

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General NPI Number Information
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    NPI Number           |    1245467596
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTIN FOREHAND GILBERT LPSC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/14/2009
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    Last Update Date     |    06/14/2009
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Provider Practice Location Address
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    Address Line         |    3433 BRAMBLETON AVE 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24018-6515
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    Country              |    US
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    Telephone            |    540-529-2904
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6378 SANDHURST DR 
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    City                 |    ROANOKE
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    State                |    VA
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    Zip                  |    24018-7711
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    Country              |    US
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    Telephone            |    
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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