Provider Demographics
NPI:1194020982
Name:GABRIEL, VALERIE ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ANN
Last Name:GABRIEL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 933
Mailing Address - Street 2:22548 N. TUOLUMNE RD
Mailing Address - City:TWAIN HARTE
Mailing Address - State:CA
Mailing Address - Zip Code:95383-0933
Mailing Address - Country:US
Mailing Address - Phone:209-586-6094
Mailing Address - Fax:
Practice Address - Street 1:13663 MONO WAY
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-2811
Practice Address - Country:US
Practice Address - Phone:209-588-2600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 23553171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator