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NPI Code Detail

MEDICARE: CHRISTINA MARIE GILL

MEDICARE:   CHRISTINA MARIE GILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1043960602
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA MARIE GILL
Provider Business Mailing Address
First Line : 175 OLD PORTLAND RD
Second Line :
City : FREEDOM
State : NH
Zip : 03836-5112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 175 OLD PORTLAND RD
Second Line :
City : FREEDOM
State : NH
Zip : 03836-5112
Country : US
Telephone Number : 603-986-5319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2022
Last Update Date : 08/25/2022

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Directions to “ CHRISTINA MARIE GILL ” Practice Location

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