Nikita Gavrilov
Professional Counselor
705 Continental Dr
Harleysville
, Pennsylvania 19438-3926
Nikita Gavrilov
Professional Counselor
705 Continental Dr
Harleysville
, Pennsylvania 19438-3926
(267) 230-1338
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Nikita Gavrilov
- 705 Continental Dr
- Harleysville, PA
- Zip : 19438-3926
- Phone : (267) 230-1338
Second Address
- Nikita Gavrilov
- 705 Continental Dr
- Harleysville, PA
- Zip : 19438-3926
- Phone : (267) 230-1338
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | PC012388 | PA |
National Provider Identifier
| NPI | 1003491861 |
|---|---|
| Provider Name | Nikita Gavrilov |
| First Address | Harleysville, PA 19438-3926 |
| Second Address | Harleysville, PA 19438-3926 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2021 |
| Last Update Date | 13/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.