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NPI Code Detail

MEDICARE: PAIGE GABRIEL

MEDICARE: PAIGE GABRIEL
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
1101YP2500XProfessional CounselorKS

General Provider Information

NPI Number : 1720833569
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE GABRIEL
Provider Business Mailing Address
First Line : 11515 S BLACKBOB RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-4901
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11515 S BLACKBOB RD
Second Line :
City : OLATHE
State : KS
Zip : 66062-4901
Country : US
Telephone Number : 402-637-5815
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2024
Last Update Date : 03/06/2025

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Directions to “ PAIGE GABRIEL ” Practice Location

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