Most Relevant Information
Provider Data
| NPI Number: | 1003639758 |
| Provider Name: | SHAINA GAUL TLMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 127835 |
Most Important Dates
| Enumeration Date: | 11/01/2024 |
| Last Updated: | 11/01/2024 |
Provider Practice Location
1409 CLARK ST
DES MOINES
IA
503141916
Practice Location Phone/Fax
| Phone: | 5156436534 |
| Fax: |
Provider Mailing Location
1409 CLARK ST
DES MOINES
IA
503141916
Provider Mailing Phone/Fax
| Phone: | 5156436534 |
| Fax: | 5156436598 |