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MS. VALERIE DELORIS GAMBLE MS, ALC
Mental Health >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1124594866
Individual Registrant:MS. VALERIE DELORIS GAMBLE MS, ALC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
208 QUAIL RIDGE RD ELMORE, AL 36025-1006 US
Tel: 334-328-5541 Fax: --
Tel: 334-328-5541 Fax: --
Contact information for business:
PO BOX 508 GOODWATER, AL 35072-0508 US
Tel: 256-207-6500 Fax: --
Tel: 256-207-6500 Fax: --
Registration Information:
NPI: 1124594866
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor Mental Health | AL | C3170A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0000 | AL | 05 |
