Provider Demographics
NPI:1447907191
Name:GALL, GAIL A (LMFT)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:A
Last Name:GALL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:A
Other - Last Name:GALL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:GAIL GALL COUNSLEING
Mailing Address - Street 1:795 ALAMO DR STE 103
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95688-5356
Mailing Address - Country:US
Mailing Address - Phone:707-317-3981
Mailing Address - Fax:
Practice Address - Street 1:795 ALAMO DR STE 103
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-5356
Practice Address - Country:US
Practice Address - Phone:707-317-3981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT54011106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist