MEDICARE: MRS. GABRIELA D DRISKILL LPC

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
1	101YP2500X	Professional Counselor	18099	TX

General Provider Information

NPI Number	:	1821510496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GABRIELA D DRISKILL LPC

Provider Business Mailing Address
First Line	:	201 E 9TH ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75203-2229
Country	:	US
Telephone Number	:	972-502-4016
Fax Number	:	972-502-4001

Provider Business Practice Location Address
First Line	:	201 E. 9TH STREET
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	76021
Country	:	US
Telephone Number	:	972-502-4016
Fax Number	:	972-502-4001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	07/21/2022

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