Provider Demographics
NPI:1366035149
Name:VALERIE GILL INC
Entity type:Organization
Organization Name:VALERIE GILL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OUTPATIENT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:608-331-7844
Mailing Address - Street 1:1545 ASSOCIATES DR STE 105
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52002-2299
Mailing Address - Country:US
Mailing Address - Phone:563-564-4114
Mailing Address - Fax:563-726-7336
Practice Address - Street 1:1545 ASSOCIATES DR STE 105
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52002-2299
Practice Address - Country:US
Practice Address - Phone:563-564-4114
Practice Address - Fax:563-726-7336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health