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Individual

ANDREW GILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC-S, LCDC

Contact information

Practice address
1304 W WALNUT HILL LN STE 120, IRVING, TX 75038-3002
(817) 360-5364
(817) 977-8303
Mailing address
1304 W WALNUT HILL LN STE 120, IRVING, TX 75038-3002
(817) 360-5364
(817) 977-8303

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10377
TX
101YM0800X
Mental Health Counselor
Primary
62128
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
262726999
TX
Enumeration date
06/10/2011
Last updated
01/08/2025
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