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Laura Gillam
Mental Health Counselor in Kokomo, Indiana
NPI 1831233824

Laura Gillam is a Mental Health Counselor based in Wabash, IN and is specialized in Mental Health. Laura Gillam practices in Kokomo, IN. The NPI Number for Laura Gillam is 1831233824 and holds a License No. 39001976 (Indiana).

The current practice location address for Laura Gillam is 3409 S 200 W, Kokomo, IN and can be reached out via phone at 260-563-8453.

Location: 3409 S 200 W, Kokomo, IN, 46992-9162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831233824
Provider Name
Laura Gillam
Credential
Provider Entity Type
Individual
Gender
Female
Address
3409 S 200 W, Kokomo, IN, 46992-9162
Phone Number
260-563-8453
Fax Number
Provider Enumeration Date
02/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201097990 05 IN
institution
Provider Business Practice Location Address Details
Address
3409 S 200 W
City
Kokomo
State
Indiana
Zip
46902-9613
Phone Number
260-563-8453
Fax Number
person
Provider Business Mailing Address Details
Address
3409 S 200 W
City
Kokomo
State
Indiana
Zip
46902-9613
Phone Number
260-563-8453
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
39001976 (Indiana)
Definition
Definition to come...
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