TINA K GILL
NPI 1073709507
Counselor - Addiction (Substance Use Disorder) in Ceres, CA
Active since September 18, 2007
About Tina K Gill NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA K GILL (NPI 1073709507) is an individual addiction (substance use disorder) provider in Ceres, California and active in the NPI registry since September 2007.
NPPES Registry Identity
NPI1073709507
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTINA K GILL
Location Address2829 ALPHONSE DRCeres, CA 95307-2128
Mailing Address2829 Alphonse DrCeres, CA 95307-2128 · (209) 505-7368
Phone(209) 505-7368
Sole ProprietorYes
Enumeration DateSeptember 18, 2007
Last NPPES UpdateSeptember 20, 2007
✔ NPI 1073709507 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2829 ALPHONSE DR, Ceres, CA 95307
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073709507, enumerated as an "individual" on September 18, 2007.
The provider is located at 2829 ALPHONSE DR CERES, CA 95307 and the phone number is (209) 505-7368.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
