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General NPI Number Information
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NPI Number | 1750722005
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Entity Type | Individual
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Provider Name | MARLA P. GENTILE LCMHC
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Gender | Female
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Dates
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Enumeration Date | 07/16/2013
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 1928 MATTERHORN DRIVE
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City | PINE MTN CLUB
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State | CA
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Zip | 93222
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Country | US
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Telephone | 828-719-1048
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5191
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City | PINE MOUNTAIN CLUB
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State | CA
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Zip | 93222-5191
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Country | US
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Telephone | 828-719-1048
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6854
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License Number State | NC
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