Provider Demographics
NPI:1962422451
Name:NARUM, GAIL DENISE (MFT)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:DENISE
Last Name:NARUM
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 3RD ST STE 201
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-0554
Mailing Address - Country:US
Mailing Address - Phone:707-441-8626
Mailing Address - Fax:707-442-5040
Practice Address - Street 1:930 3RD ST STE 201
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-0554
Practice Address - Country:US
Practice Address - Phone:707-441-8626
Practice Address - Fax:707-442-5040
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2008-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27990106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist