| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LAUREN DAKOTA GAMBLE | 1992424568 | 2022-08-25 |
Lauren Dakota Gamble is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1992424568. Registration indicates Lauren Dakota Gamble is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Lauren Dakota Gamble |
| Practice Office Address | 2255 CHALLENGER WAY SANTA ROSA, CA US |
| Practice Office Telephone | 7075654797 |
| Mailing Address | 2255 CHALLENGER WAY SANTA ROSA, CA 954075423 US |
| Business Telephone | 7075654797 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 438 Eddie Ln | Sebastopol, CA 954723425 | 7078238722 |
| 8211 Occidental Rd | Sebastopol, CA 954726424 | 7078238722 |
| 7760 Joyce Dr | Sebastopol, CA 954722651 | 7078238722 |
| 1534 Hurlbut Ave | Sebastopol, CA 954722877 | 7078230208 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 120708
CA |
| 101Y00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers |
CA |