Provider Demographics
NPI:1225039977
Name:GABBERT, GAIL LYNN (DMIN, LMFT)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:LYNN
Last Name:GABBERT
Suffix:
Gender:F
Credentials:DMIN, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 SPRING ST STE 101
Mailing Address - Street 2:
Mailing Address - City:GALENA
Mailing Address - State:IL
Mailing Address - Zip Code:61036-2003
Mailing Address - Country:US
Mailing Address - Phone:815-777-2850
Mailing Address - Fax:815-550-0529
Practice Address - Street 1:800 SPRING ST STE 101
Practice Address - Street 2:
Practice Address - City:GALENA
Practice Address - State:IL
Practice Address - Zip Code:61036-2003
Practice Address - Country:US
Practice Address - Phone:815-777-2850
Practice Address - Fax:815-550-0529
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166-000220106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist