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NPI Code Detail

MEDICARE: ANN LOUISE GILPIN MA, CAADC

MEDICARE:   ANN LOUISE GILPIN  MA, CAADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YA0400XAddiction (Substance Use Disorder) CounselorMI
3101YM0800XMental Health Counselor
4101YM0800XMental Health CounselorMI
5104100000XSocial WorkerMSW010649GA

General Provider Information

NPI Number : 1467880450
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN LOUISE GILPIN MA, CAADC
Provider Business Mailing Address
First Line : 677 E. MAIN ST.
Second Line : STE. A
City : CENTREVILLE
State : MI
Zip : 49032
Country : US
Telephone Number : 269-467-1001
Fax Number : 269-467-3075
Provider Business Practice Location Address
First Line : 111 N PATTERSON ST
Second Line :
City : VALDOSTA
State : GA
Zip : 31601-5515
Country : US
Telephone Number : 229-219-1831
Fax Number : 229-219-2832
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2013
Last Update Date : 05/09/2022

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Directions to “ ANN LOUISE GILPIN MA, CAADC” Practice Location

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