Ginger Virginia Gabriel, PH.D., M.F.T.
Individual provider Active NPI Marriage & Family Therapist · Crestline, CA
NPI 1124047956 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124047956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC31925 (CA)
- Practice address
- 601 S Lee Bert Way
Crestline, CA 92325 - Phone
- (909) 338-6968
- Fax
- (909) 338-6086
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC31925 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC31925 | CA | Yes |
Addresses
Primary practice location
601 S Lee Bert Way
Crestline, CA 92325
Mailing address
580 Forest Shade Dr.
Suite 10
Crestline, CA 92325-4425
Phone (909) 338-6968
Other providers in Crestline, CA
- Family Service Agency of San Bernardino
- Monica Pauline Ferreri
- Jessica Fletcher
- Kaleen Marie Foster
- Paul William Fournier
- Diana Garcia
- Hannah Garcia
- Lisa Louise Garland
- Bethany Gilliland
- Tyler J Glenn
All providers in Crestline, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.