MEDICARE: MITCHELL PAUL GABEL MFT-I

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	MI4355	NV

General Provider Information

NPI Number	:	1922702752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MITCHELL PAUL GABEL MFT-I

Provider Business Mailing Address
First Line	:	9303 GILCREASE AVE UNIT 1098
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-6121
Country	:	US
Telephone Number	:	702-239-4744
Fax Number	:

Provider Business Practice Location Address
First Line	:	9303 GILCREASE AVE UNIT 1098
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-6121
Country	:	US
Telephone Number	:	702-239-4744
Fax Number	:

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

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	04/03/2024

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