Provider Demographics
NPI:1891246054
Name:WARD, GAIL MARIE (LCPC)
Entity type:Individual
Prefix:MS
First Name:GAIL
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
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Mailing Address - Street 1:1273 SPRING CREEK LANE UNIT 210
Mailing Address - Street 2:
Mailing Address - City:FRUITLAND
Mailing Address - State:ID
Mailing Address - Zip Code:83619
Mailing Address - Country:US
Mailing Address - Phone:541-556-8848
Mailing Address - Fax:208-466-5058
Practice Address - Street 1:INSIGHT COUNSELING AND THERAPY
Practice Address - Street 2:250 S MAIN ST
Practice Address - City:PAYETTE
Practice Address - State:ID
Practice Address - Zip Code:83661
Practice Address - Country:US
Practice Address - Phone:208-405-0020
Practice Address - Fax:208-466-5058
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA509591101YA0400X
ORMAC101YA0400X
ID6349101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)