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General NPI Number Information
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NPI Number | 1881020667
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Entity Type | Individual
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Provider Name | CINDY JEAN GOURLEY MA, LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/24/2013
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 2770 BROWNING ST
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City | SARASOTA
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State | FL
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Zip | 34237-7631
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Country | US
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Telephone | 941-323-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 2755 GREENDALE DR
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City | SARASOTA
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State | FL
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Zip | 34232-3737
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Country | US
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Telephone | 941-323-8922
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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 | 11054
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License Number State | FL
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