Provider Demographics
NPI:1356465637
Name:ALBER, GILBERT ALLEN (LISW, CADC)
Entity Type:Individual
Prefix:MR
First Name:GILBERT
Middle Name:ALLEN
Last Name:ALBER
Suffix:
Gender:M
Credentials:LISW, CADC
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 195
Mailing Address - Street 2:110 NORTH PARK PLACE
Mailing Address - City:CRESCO
Mailing Address - State:IA
Mailing Address - Zip Code:52136-0195
Mailing Address - Country:US
Mailing Address - Phone:563-547-1779
Mailing Address - Fax:563-547-9914
Practice Address - Street 1:110 N PARK PL
Practice Address - Street 2:
Practice Address - City:CRESCO
Practice Address - State:IA
Practice Address - Zip Code:52136-1631
Practice Address - Country:US
Practice Address - Phone:563-547-1779
Practice Address - Fax:563-547-9914
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01001101YA0400X
IA055161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAI8012Medicare ID - Type Unspecified