Lookup NPI Numbers from the NPI Registry
NPI Profile for MARY GATES GULLY in CENTRALIA, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1013105295 |
|
| Status | Active | |
| Credentials | MS, CADC | |
| Entity | Individual | |
| Enumeration date | 10/12/2007 | |
| Last updated | 02/07/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARY GATES GULLY
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MARY GATES GULLY, MS, CADC