Individual
CHARLES M. GABY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
750 W 5TH ST, FORT WORTH, TX 76102-3621
(817) 339-3881
Mailing address
750 W 5TH ST, FORT WORTH, TX 76102-3621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13016
TX
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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