person
Mrs. Carrie Gurgel, MED
Mental Health Counselor in Lewiston, Idaho
NPI 1710970462

Carrie Gurgel is a Mental Health Counselor based in Lewiston, ID and is specialized in Mental Health. Carrie Gurgel practices in Lewiston, ID and has the professional credentials of MED. The NPI Number for Carrie Gurgel is 1710970462 and holds a License No. LPC836 (Idaho).

The current practice location address for Carrie Gurgel is 422 17Th St, Lewiston, ID and can be reached out via phone at 208-743-4680 and via fax at 208-743-1756.

Location: 422 17Th St, Lewiston, ID, 83501-1465
person
Provider Profile Details
NPI Number
1710970462
Provider Name
Carrie Gurgel
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
422 17Th St, Lewiston, ID, 83501-1465
Phone Number
208-743-4680
Fax Number
208-743-1756
Provider Enumeration Date
08/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010016553 01 ID BLUESHIELD OF IDAHO
X0359 01 ID BLUE CROSS OF IDAHO
institution
Provider Business Practice Location Address Details
Address
422 17Th St
City
State
Zip
83501-2526
Phone Number
208-743-4680
Fax Number
208-743-1756
person
Provider Business Mailing Address Details
Address
422 17Th St
City
State
Zip
83501-2526
Phone Number
208-743-4680
Fax Number
208-743-1756
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC836 (Idaho)
Definition
Definition to come...
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