Provider Demographics
NPI:1215630421
Name:GILBERT, NAVARRE JOSEPH (LLPC, SCL)
Entity type:Individual
Prefix:MR
First Name:NAVARRE
Middle Name:JOSEPH
Last Name:GILBERT
Suffix:
Gender:M
Credentials:LLPC, SCL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 JOHN ANDERSON CT APT 20
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3456
Mailing Address - Country:US
Mailing Address - Phone:734-652-1821
Mailing Address - Fax:
Practice Address - Street 1:620 JOHN ANDERSON CT APT 20
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-3456
Practice Address - Country:US
Practice Address - Phone:734-652-1821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISC0000001110731101YS0200X
MI6451022822101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool