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NPI Code Detail

MEDICARE: MRS. SARAH ANN RUTH DEFALCO-GIBBS M.A.

MEDICARE: MRS. SARAH ANN RUTH DEFALCO-GIBBS M.A.
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 : 1851430318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ANN RUTH DEFALCO-GIBBS M.A.
Provider Business Mailing Address
First Line : 408 N CEDAR BLUFF RD STE 305
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3648
Country : US
Telephone Number : 658-885-8188
Fax Number : 865-888-5819
Provider Business Practice Location Address
First Line : 408 N CEDAR BLUFF RD STE 305
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3648
Country : US
Telephone Number : 658-885-8188
Fax Number : 865-888-5819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 01/18/2024

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