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Gabrielle L Ibraham
Mental Health Counselor in Wantagh, New York
NPI 1992337422

Gabrielle L Ibraham is a Mental Health Counselor based in Bay Shore, NY and is specialized in Mental Health. Gabrielle L Ibraham practices in Wantagh, NY. The NPI Number for Gabrielle L Ibraham is 1992337422 and holds a License No. (New York).

The current practice location address for Gabrielle L Ibraham is 3408 Park Ave, Wantagh, NY and can be reached out via phone at 516-221-2123.

Location: 3408 Park Ave, Wantagh, NY, 11706-4147
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992337422
Provider Name
Gabrielle L Ibraham
Credential
Provider Entity Type
Individual
Gender
Female
Address
3408 Park Ave, Wantagh, NY, 11706-4147
Phone Number
516-221-2123
Fax Number
Provider Enumeration Date
02/12/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FSL 01 N/A
institution
Provider Business Practice Location Address Details
Address
3408 Park Ave
City
Wantagh
State
New York
Zip
11793-3702
Phone Number
516-221-2123
Fax Number
person
Provider Business Mailing Address Details
Address
3408 Park Ave
City
Wantagh
State
New York
Zip
11793-3702
Phone Number
516-221-2123
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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