J. Gabriel Mydland in Brookings - Mental Health

J. Gabriel Mydland - NPI 1518175025

J. Gabriel Mydland is a Mental Health in Brookings, South Dakota. J. Gabriel Mydland practices all healthcare services and medical treatments related to Mental Health. The NPI Number for J. Gabriel Mydland is 1518175025. The last update date is 2007-07-08.

J. Gabriel Mydland's current location address is 120 22nd Ave S Pmb 179, Brookings, South Dakota. You can contact this provider via phone number 6056910463. The mailing address for J. Gabriel Mydland is 120 22nd Ave S Pmb 179, Brookings, South Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name J. Gabriel Mydland
Address 120 22nd Ave S Pmb 179, Brookings, South Dakota
Phone Number 6056910463
Fax Number
Sole Proprietor Y
Credentials EDD LPC

NPI Number Detail

NPI Number 1518175025
Provider Enumeration Date 2007-05-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 120 22nd Ave S Pmb 179
City Brookings
State South Dakota (SD)
Post Code 57006
Phone Number 6056910463
Fax Number

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No 1057
Definition:
A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more.

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FAQs about J. Gabriel Mydland

What is the unique 10-digit identification code assigned to J. Gabriel Mydland by the Centers for Medicare & Medicaid Services?

The J. Gabriel Mydland has been issued the NPI (National Provider Identifier) 1518175025, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where J. Gabriel Mydland is geographically located?

The J. Gabriel Mydland is physically situated at the following location: 120 22Nd Ave S Pmb 179, Brookings, SD, 57006.

What is J. Gabriel Mydland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The J. Gabriel Mydland's specialized field of practice is Mental Health, and the corresponding taxonomy code that categorizes this area of specialization is 101Ym0800X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518175025 to J. Gabriel Mydland?

The Centers for Medicare & Medicaid Services originally issued the 1518175025 to J. Gabriel Mydland on 2007-05-18.

As of what date was the information pertaining to J. Gabriel Mydland, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to J. Gabriel Mydland, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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