NPI 1003659368
Gypsy Gillum
Practice location
- Address
- 291 E Swanson Ave, Wasilla, AK 99654-7004
- Phone
- (907) 376-3275
Registered specialties
Mental Health Counselor
Primary
Registry record
- NPI
- 1003659368
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 14 Jun 2024
- Record last updated
- 14 Jun 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.