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NPI Code Detail

MEDICARE: GABRIELLE RENEE KNIGHT LMSW

MEDICARE: GABRIELLE RENEE KNIGHT LMSW
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 Counselor122780IA

General Provider Information

NPI Number : 1942062542
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABRIELLE RENEE KNIGHT LMSW
Provider Business Mailing Address
First Line : 1730 28TH ST
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-1436
Country : US
Telephone Number : 515-452-0284
Fax Number : 515-598-7452
Provider Business Practice Location Address
First Line : 1730 28TH ST
Second Line :
City : WEST DES MOINES
State : IA
Zip : 50266-1436
Country : US
Telephone Number : 515-452-0284
Fax Number : 515-598-7452
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2024
Last Update Date : 01/29/2024

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