Provider Demographics
NPI:1194558908
Name:TWOHEY, GABRIELE (CADC)
Entity type:Individual
Prefix:
First Name:GABRIELE
Middle Name:
Last Name:TWOHEY
Suffix:
Gender:F
Credentials:CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2655 100TH ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-3808
Mailing Address - Country:US
Mailing Address - Phone:515-508-0961
Mailing Address - Fax:515-564-7101
Practice Address - Street 1:2655 100TH ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-3808
Practice Address - Country:US
Practice Address - Phone:515-508-0961
Practice Address - Fax:515-564-7101
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01084101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)