Individual
INGRID GAMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
401 W TWOHIG AVE, SAN ANGELO, TX 76903-6321
(325) 655-7777
Mailing address
401 W TWOHIG AVE, SAN ANGELO, TX 76903-6321
(325) 655-7777
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13356
TX
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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