| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TINA MARIE GAMBRELL | 1548837958 | 2023-07-25 |
Tina Marie Gambrell is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1548837958. Registration indicates Tina Marie Gambrell is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Tina Marie Gambrell |
| Practice Office Address | 2751 NAPA VALLEY CORPORATE DR BLDG A NAPA, CA US |
| Practice Office Telephone | 7072991760 |
| Practice Office Fax | 7072992199 |
| Mailing Address | 2751 NAPA VALLEY CORPORATE DR # A211 NAPA, CA 945586216 US |
| Business Telephone | 7072534326 |
| Business Fax | 7072992165 |
| Code | Practice | License No State |
|---|---|---|
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | 109776
CA |
| 101YM0800X | MEDICAID | CA |