Provider Demographics
NPI:1831947944
Name:MCGUIRE, GABRIELLE NICOLE (LPC)
Entity type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:NICOLE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:GABRIELLE
Other - Middle Name:NICOLE
Other - Last Name:GAUTHIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4708 JAMES SAVAGE RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-6527
Mailing Address - Country:US
Mailing Address - Phone:989-495-9335
Mailing Address - Fax:
Practice Address - Street 1:4708 JAMES SAVAGE RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-6527
Practice Address - Country:US
Practice Address - Phone:989-495-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401223598101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty