Provider Demographics
NPI:1124374855
Name:GABBERT, DANIEL TODD (MS, LPC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:TODD
Last Name:GABBERT
Suffix:
Gender:M
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8080 WARD PKWY
Mailing Address - Street 2:SUITE 405
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-2034
Mailing Address - Country:US
Mailing Address - Phone:816-309-5626
Mailing Address - Fax:
Practice Address - Street 1:8080 WARD PKWY STE 405
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-2020
Practice Address - Country:US
Practice Address - Phone:816-945-2277
Practice Address - Fax:816-895-3975
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012019758101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
1952789307OtherNPPES
1750746368OtherNPPES