NPI Profile for JORDAN C GABEL in CAMPBELLSVILLE, KY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI # | 1114742004 |
|
| Status | Active | |
| Credentials | B.S. PSYCHOLOGY | |
| Entity | Individual | |
| Enumeration date | 11/18/2024 | |
| Last updated | 11/18/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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JORDAN C GABEL
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