Individual
NATALIE C GAMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Mailing address
3111 ELECTRIC AVE, PORT HURON, MI 48060-8127
(810) 985-8900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
6401007674
MI
101YM0800X
Mental Health Counselor
6401007674
MI
101YP2500X
Professional Counselor
Primary
6401007674
MI
Other
Enumeration date
04/01/2009
Last updated
01/31/2020
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