Individual provider · Type 1 NPI
Gayle M. Joll-Tavernier, LSW
Mental Health Counselor · Michigan City, IN
NPI number
1487208716
Active
Practice location
7418 N 300 W
Michigan City, IN 46360-9710
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 33008594A (IN) |
Mental Health Counselor: Definition to come...
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About NPI 1487208716
Gayle M. Joll-Tavernier, LSW's National Provider Identifier is 1487208716, issued on Jul 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Michigan City, IN. The record was last updated on Jul 25, 2019.