KATHLEEN GUNDLACH NPI 1861912024

NPI Information

NPI: 1861912024
Provider Name: KATHLEEN GUNDLACH
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
7077 BONNEVAL RD STE 603
JACKSONVILLE, FL
ZIP 32216
Phone: (561) 386-1490
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Kathleen Gundlach is a mental health counselor in Jacksonville, FL. Kathleen Gundlach NPI is 1861912024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7077 BONNEVAL RD STE 603
JACKSONVILLE, FL
ZIP 32216-010
Phone: (561) 386-1490

The NPI 1861912024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 6/20/2017 and was last updated on 4/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MH19951	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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